Active NPI
Shannon Elaine Haerter, APRN
- Family Nurse Practitioner
- Lady Lake, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11035508
- Practice address
- 737 Highway 466
Lady Lake, FL 32159-6340 - Phone
- (352) 742-1171
- Fax
- (352) 742-7241
- NPI assigned
- Sep 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN11035508 | FL | Primary |
Addresses
Primary practice location
737 Highway 466
Lady Lake, FL 32159-6340
Mailing address
PO Box 935921
Atlanta, GA 31193-5921
Other practice location 1
1879 Nightingale Ln Ste C1
Tavares, FL 32778-4363
Phone (352) 742-1171
Other practice location 2
801 E Dixie Ave
Leesburg, FL 34748-7699
Phone (352) 742-1171
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Waterman Way
Tavares, FL 32778-5266
Phone (352) 742-3581
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Healthcare Partners, Inc | Single Specialty | Current | Accepting new patients |
Locations
737 Highway 466
Lady Lake, FL 32159
Phone (352) 259-6334
801 E Dixie Ave
Leesburg, FL 34748
Phone (352) 315-0627
1055 Saxon Blvd
Orange City, FL 32763
Phone (386) 917-5000
60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000
1879 Nightingale Ln
Ste C1
Tavares, FL 32778
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- shaerter246676@adventhealth.direct-ci.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Daytona Beach, FL
- NPI 1780100529
Single Specialty
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba AdventHealth Orlando
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
dba AdventHealth Orlando Outreach Laboratory
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
dba AdventHealth Waterman
- General Acute Care Hospital
- Tavares, FL
- NPI 1821019571
-
dba Uf Health Emergency/Urgent Care Eustis Mt. Dora
- Urgent Care Clinic/Center
- Leesburg, FL
- NPI 1245001189
Hospital
-
- General Acute Care Hospital
- Leesburg, FL
- NPI 1245226190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736121600000",
"number": "1740007434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 935921",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311935921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "737 HIGHWAY 466",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321596340",
"telephone_number": "352-742-1171",
"fax_number": "352-742-7241"
}
],
"practiceLocations": [
{
"address_1": "1879 Nightingale Ln Ste C1",
"address_purpose": "LOCATION",
"city": "Tavares",
"state": "FL",
"postal_code": "327784363",
"country_code": "US",
"telephone_number": "352-742-1171",
"fax_number": "352-742-7241",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "801 E Dixie Ave",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347487699",
"country_code": "US",
"telephone_number": "352-742-1171",
"fax_number": "352-742-7241",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAERTER",
"first_name": "SHANNON",
"middle_name": "ELAINE",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2025-01-06",
"certification_date": "2025-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11035508",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lady Lake, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.