Active NPI
Shawn Statuto, APRN
- Family Nurse Practitioner
- Spring Hill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11032264
- 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, 2024
- Sex
- Male
- 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 | 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 11032264 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| All American Urgent Care, LLC | Current | Accepting new patients | |
| Suncoast Urgent Care Centers LLC | Current | 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
- 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.
-
- Urgent Care Clinic/Center
- Spring Hill, FL
- NPI 1588075931
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
dba Suncoast Urgent Care
- Urgent Care Clinic/Center
- Spring Hill, FL
- NPI 1780890053
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
- Nakisha Stapleton
- Jessica Stark, ARNP
- Joshua Starks
- Starr Sports Rehabilitation and Physical Therapy Center LLC (Starr Sports Rehabilitation and Physical Therapy Center)
- Carrie Lynn Staton, ARNP
- Eileen M Stebbins
- Jon Kelly Steele, PHARMACIST
- Stefa Family Hearing Care, LLC (Beltone Hearing Care Center)
- Alexandria Stefan
- Yvonne C Steffens, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.