Individual provider Active NPI

Scott Wayne Shiffer, FNP

  • Family Nurse Practitioner
  • Milton, FL
National Provider Identifier
1972573236
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
282862 Issued in CA
Practice address
7119 Langley St
Naval Branch Health Clinic
Milton, FL 32570-6105
Phone
(850) 623-7173
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 282862 CA Primary

Addresses

Primary practice location

7119 Langley St
Naval Branch Health Clinic
Milton, FL 32570-6105

Mailing address

4609 Riley Rd
Milton, FL 32583-8009

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
I20190409000268 FL Order and Referring Only - Nurse Practitioner 8224379805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
282862CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Branch Medical Clinic Whiting Field Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1972573236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4609 RILEY RD",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325838009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7119 LANGLEY ST",
            "address_2": "NAVAL BRANCH HEALTH CLINIC",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325706105",
            "telephone_number": "850-623-7173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFER",
        "first_name": "SCOTT",
        "middle_name": "WAYNE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "282862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.