Individual provider Active NPI

Shelby P Jones, ARNP

  • Nurse Practitioner
  • Haines City, FL
National Provider Identifier
1952810186
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9327414 Issued in FL
Practice address
30650 US Hwy 27 N Unit a
Haines City, FL 33844-7303
Phone
(863) 662-4058
Fax
(863) 582-9527
NPI assigned
Sep 20, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9327414 FL Primary

Addresses

Primary practice location

30650 US Hwy 27 N Unit a
Haines City, FL 33844-7303

Mailing address

30650 US Hwy 27 N Unit a
Haines City, FL 33844-7303
Phone (863) 662-4058

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
I20171006001350 FL Practitioner - Nurse Practitioner 8921373572 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
80.73
Improvement activities
40
Cost
23.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9327414FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mobile Physicians Team LLC CurrentSince Dec 7, 2020 Accepting new patients
Thakkar Patel & Avalos MD's LLC CurrentSince Sep 20, 2017 Accepting new patients
Thakkar Anesthesia Associates PA Past Accepting new patients

Locations

1009 Sebring Pkwy
Ste 101
Sebring, FL 33870
Phone (863) 385-5179

Organizations & group practices 3

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": "1505865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1952810186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 US HWY 27 N UNIT A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447303",
            "telephone_number": "863-662-4058",
            "fax_number": "863-582-9527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30650 US HWY 27 N UNIT A",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338447303",
            "telephone_number": "863-662-4058",
            "fax_number": "863-582-9527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHELBY",
        "middle_name": "P",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-20",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9327414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haines City, FL

Sources for this page

Verify at the official NPI Registry.