Individual provider Active NPI

Shannon Marie Sims, APRN

  • Nurse Practitioner
  • Pensacola, FL
National Provider Identifier
1962064832
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11002992 Issued in FL
Practice address
6314 N 9TH Ave
Pensacola, FL 32504-7320
Phone
(850) 416-4730
Fax
(850) 416-4703
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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 APRN11002992 FL Primary

Addresses

Primary practice location

6314 N 9TH Ave
Pensacola, FL 32504-7320

Mailing address

PO Box 2699
Attn SHMG Hpe
Pensacola, FL 32513-2699
Phone (850) 416-4730

Other practice location 1

2237 W Nine Mile Rd
Pensacola, FL 32534-9416
Phone (850) 416-4740

Other practice location 2

8220 Navarre Pkwy
Navarre, FL 32566-6943
Phone (850) 416-7272

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
I20190906002171 FL Practitioner - Nurse Practitioner 4385973981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sacred Heart Health System IncGroup PAC ID 3779491386, 373 clinicians

Practice addresses (Care Compare)

2237 W Nine Mile Rd
Sacred Heart Medical Group
Pensacola, FL 32534-9416
Phone (850) 416-4740

Hospital & facility affiliations

  • Peoples Home Health LLC Home health agency, Pensacola, FL, CCN 109664
  • Sacred Heart Hospital Hospital, Pensacola, FL, CCN 100025
  • Baptist Hospital Hospital, Pensacola, FL, CCN 100093
  • Jay Hospital Hospital, Jay, FL, CCN 101315

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sacred Heart Health System Inc CurrentSince Aug 1, 2019 Accepting new patients
Sacred Heart Health System, Inc. CurrentSince Aug 1, 2019 Accepting new patients

Locations

36500 Emerald Coast Pkwy
Destin, FL 32541
Phone (850) 269-0301

26 Racetrack Rd NW
Ft Walton Bch, FL 32547
Phone (850) 416-2340

8220 Navarre Pkwy
Navarre, FL 32566
Phone (850) 416-7272

2237 W Nine Mile Rd
Pensacola, FL 32534
Phone (850) 416-4740

6314 N 9th Ave
Pensacola, FL 32504
Phone (850) 416-4730

4501 N Davis Hwy
Ste A
Pensacola, FL 32503
Phone (850) 476-9000

Interoperability endpoints

  • Direct secure messaging: shannon.sims.1@9582.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1962064832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2699",
            "address_2": "ATTN SHMG HPE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325132699",
            "telephone_number": "850-416-4730",
            "fax_number": "850-416-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 N 9TH AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325047320",
            "telephone_number": "850-416-4730",
            "fax_number": "850-416-4703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2237 W Nine Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325349416",
            "country_code": "US",
            "telephone_number": "850-416-4740",
            "fax_number": "850-416-4705",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8220 Navarre Pkwy",
            "address_purpose": "LOCATION",
            "city": "Navarre",
            "state": "FL",
            "postal_code": "325666943",
            "country_code": "US",
            "telephone_number": "850-416-7272",
            "fax_number": "850-416-7274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMS",
        "first_name": "SHANNON",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11002992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.