Individual provider Active NPI

Shawn Statuto, APRN

  • Family Nurse Practitioner
  • Spring Hill, FL
National Provider Identifier
1811740657
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032264 Issued in FL
Practice address
491 Mariner Blvd FL 34609
Spring Hill, FL 34609-5680
Phone
(352) 515-6000
NPI assigned
Apr 10, 2024
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11032264 FL Primary

Addresses

Primary practice location

491 Mariner Blvd FL 34609
Spring Hill, FL 34609-5680

Mailing address

11195 Marsh Wren Ave
Weeki Wachee, FL 34614-3034
Phone (352) 573-1715

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515001693 FL Practitioner - Nurse Practitioner 5496196982 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Suncoast Urgent Care Centers LLCGroup PAC ID 5991878316, 10 clinicians
Emergency Medicine Services of FL LLCGroup PAC ID 8426413931, 686 clinicians
All American Urgent Care LLCGroup PAC ID 2466764832, 11 clinicians

Practice addresses (Care Compare)

10730 State Rd
New Port Richey, FL 34655-2265
Phone (727) 372-3888

11375 Cortez Blvd
Brooksville, FL 34613-5409
Phone (352) 596-6632

4112 Mariner Blvd
Spring Hill, FL 34609-2468
Phone (352) 684-3288

491 Mariner Blvd
Spring Hill, FL 34609-5680
Phone (352) 515-6000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11032264FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Services of FL, LLC CurrentSince Aug 2, 2024 Accepting new patients
All American Urgent Care, LLC CurrentSince Apr 19, 2024 Accepting new patients
Suncoast Urgent Care Centers LLC CurrentSince Jan 5, 2026 Accepting new patients
Myprimary, LLC Past Accepting new patients

Locations

11375 Cortez Blvd
Fl Oak
Brooksville, FL 34613
Phone (352) 592-2753

322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953

14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929

491 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 515-6000

8763 River Crossing Blvd
Trinity, FL 34655
Phone (727) 788-4350

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14213/brand/1/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1811740657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11195 MARSH WREN AVE",
            "city": "WEEKI WACHEE",
            "state": "FL",
            "postal_code": "346143034",
            "telephone_number": "352-573-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 MARINER BLVD FL 34609",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346095680",
            "telephone_number": "352-515-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STATUTO",
        "first_name": "SHAWN",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, FL

Sources for this page

Verify at the official NPI Registry.