Mrs Shannon Rose Ellis, RN, MSN, FNP-C in Casselberry, FL

Mrs Shannon Rose Ellis, RN, MSN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Casselberry, Florida. Her current practice location is 1460 Fairway Oaks Dr, Casselberry, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 413-2866.

Mrs Shannon Rose Ellis is licensed to practice in Florida (license number 11009709) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750989356.

Contact Information

	Mrs Shannon Rose Ellis, RN, MSN, FNP-C
	1460 Fairway Oaks Dr, Casselberry, FL 32707-5140
	(407) 413-2866
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Rose Ellis
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1460 Fairway Oaks Dr, Casselberry, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750989356
Provider Enumeration Date: 10/15/2020
Last Update Date: 10/15/2020

Medicare PECOS Information:

PECOS PAC ID: 5799225124
Enrollment ID: I20240911003397

Medical Identifiers

Medical identifiers for Mrs Shannon Rose Ellis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750989356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11009709 (Florida)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Shannon Rose Ellis allows following entities to bill medicare on her behalf.

Entity Name	Florida Sports And Family Health Center Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972671527 PECOS PAC ID: 0840236907 Enrollment ID: O20050629000812

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Shannon Rose Ellis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Shannon Rose Ellis, RN, MSN, FNP-C 1460 Fairway Oaks Dr, Casselberry, FL 32707-5140 Ph: (407) 413-2866	Mrs Shannon Rose Ellis, RN, MSN, FNP-C 1460 Fairway Oaks Dr, Casselberry, FL 32707-5140 Ph: (407) 413-2866

Reviews and Comments

Nurse Practitioner Nurses in Casselberry, FL

Robyn Stephanie Bishop, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2008 Varick Way, Casselberry, FL 32707 Phone: 407-913-2921
Cynthia Trujillo Planadeball, APRN, FNP-C, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 985 State Road 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3765
Kathie Jane Smith, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3385 S Us Highway 17/92, Casselberry, FL 32707 Phone: 407-260-1992 Fax: 407-260-9210
Mrs. Rosanne Catherine Shinkle, MN, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 237 Fernwood Blvd Ste 111, Casselberry, FL 32730 Phone: 407-332-6506 Fax: 407-830-4073
Mrs. Donna-marie Phyllis Lanton, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 985 Sr 436, Casselberry, FL 32707 Phone: 407-831-5252 Fax: 407-831-3390
Amabel Tangunan Lubaton, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 430 State Road 436 Ste 224, Casselberry, FL 32707 Phone: 786-449-5448
Aliuska Martinez, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 460 Violet Dell, Casselberry, FL 32707 Phone: 407-920-7930

Mrs Shannon Rose Ellis, RN, MSN, FNP-C - Medicare Nurse Practitioner in Casselberry, FL