Individual provider Active NPI

Shannon Michele Reynolds, APRN

  • Adult Health Nurse Practitioner
  • Ocala, FL
National Provider Identifier
1982308482
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
APRN11025467 Issued in FL
Practice address
1219 S Pine Ave Ste 201
Ocala, FL 34471-6524
Phone
(352) 415-9026
NPI assigned
Mar 28, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X APRN11025467 FL Primary

Addresses

Primary practice location

1219 S Pine Ave Ste 201
Ocala, FL 34471-6524

Mailing address

1219 S Pine Ave Ste 201
Ocala, FL 34471-6524
Phone (352) 415-9026

Other practice location 1

2840 SE 3rd Ct Ste 100
Ocala, FL 34471-0480
Phone (352) 622-1777

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
I20230426002112 FL Practitioner - Nurse Practitioner 0345605341 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Hospital Physician Group IncGroup PAC ID 2365679057, 953 clinicians
Millennium Physician Group LLCGroup PAC ID 9830244433, 976 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

2700 Healing Way
Wesley Chapel, FL 33543-5453

2840 SE 3Rd CT
Suite 100
Ocala, FL 34471-0480
Phone (352) 622-1777

3845 SE Lake Weir Ave
Cora Physical Therapy East Ocala
Ocala, FL 34480-9153
Phone (352) 693-3378

8768 SE 165TH Mulberry LN
Cora Physical Therapy Mulberry Lane
The Villages, FL 32162-5861
Phone (352) 329-5237

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Clermont, FL, CCN 108236
  • Adventhealth Ocala Hospital, Ocala, FL, CCN 100062

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sujata S. Balulad, MD., PA CurrentSince Dec 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 2, 2024 Accepting new patients
Millennium Physician Group LLC CurrentSince Apr 2, 2024 Accepting new patients
Abir Solutions LLC CurrentSince Dec 1, 2025 Accepting new patients
Advanced Wound Ostomy and Continence Care LLC Adult Health CurrentSince Mar 27, 2023 Accepting new patients
Florida Hospital Physician Group Inc Past Accepting new patients

Locations

14540 Cortez Blvd
Ste 102
Brooksville, FL 34613
Phone (352) 596-7255

2675 Winkler Ave
Fl 2
Fort Myers, FL 33901
Phone (855) 979-5700

33041 Professional Dr
Ste 101
Leesburg, FL 34788
Phone (352) 365-1224

2840 SE 3rd Ct
Ste 100
Ocala, FL 34471
Phone (352) 622-1777

9401 SW Highway 200
Ste 2004
Ocala, FL 34481
Phone (352) 369-9777

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

17154 SE 109th Terrace Rd
Summerfield, FL 34491
Phone (352) 478-0010

1501 N US Highway 441
Bldg 1600
The Villages, FL 32159
Phone (352) 750-2040

Interoperability endpoints

  • Direct secure messaging: shannon.reynolds.1@4290.direct.athenahealth.com

Organizations & group practices 6

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 2

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": "1679961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1982308482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 S PINE AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716524",
            "telephone_number": "352-415-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 S PINE AVE STE 201",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344716524",
            "telephone_number": "352-415-9026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2840 SE 3rd Ct Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ocala",
            "state": "FL",
            "postal_code": "344710480",
            "country_code": "US",
            "telephone_number": "352-622-1777",
            "fax_number": "352-622-1929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REYNOLDS",
        "first_name": "SHANNON",
        "middle_name": "MICHELE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-28",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "APRN11025467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.