NPIMap

Individual provider Active NPI

Shams Miloud Elhuni, APRN

  • Family Nurse Practitioner
  • Vero Beach, FL
National Provider Identifier
1912758616
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11032057 Issued in FL
Practice address
1897 Grey Falcon Cir SW
Vero Beach, FL 32962-8611
Phone
(772) 480-1346
NPI assigned
Mar 29, 2024
Last updated
Mar 29, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 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 11032057 FL Primary

Addresses

Primary practice location

1897 Grey Falcon Cir SW
Vero Beach, FL 32962-8611

Mailing address

1897 Grey Falcon Cir SW
Vero Beach, FL 32962-8611
Phone (772) 480-1346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240422000034 FL Practitioner - Nurse Practitioner 3870932007 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nations Healthcare SpecialistsGroup PAC ID 7517306756, 5 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

1897 Grey Falcon Cir SW
Vero Beach, FL 32962-8611
Phone (772) 480-1346

2100 10TH Ave
Vero Beach, FL 32960-5377
Phone (772) 365-4539

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11032057FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nations Healthcare Specialists Single Specialty CurrentSince Apr 1, 2024 Accepting new patients
Mobile Cardio LLC Single Specialty Current Accepting new patients

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1912758616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 GREY FALCON CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329628611",
            "telephone_number": "772-480-1346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 GREY FALCON CIR SW",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329628611",
            "telephone_number": "772-480-1346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELHUNI",
        "first_name": "SHAMS",
        "middle_name": "MILOUD",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2022-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11032057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.