DR. SHANNON DENISE SHEA M.D.
NPI 1053638551
Pediatrics in Jacksonville, FL

Q: What is Shannon Shea's NPI number?

The NPI number for Shannon Shea is 1053638551. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Q: What is Shannon Shea's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Shea was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2010PECOS Enrolled

3900 UNIVERSITY BLVD S STE 2, JACKSONVILLE, FL 32216(904) 760-4940 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2021, Sep 22, 2020, Jan 30, 2017 (3 updates tracked since 2017).

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About Dr. Shannon Denise Shea M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHANNON DENISE SHEA M.D. (NPI 1053638551) is an individual pediatrics provider in Jacksonville, Florida, licensed in Florida (ME130808) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053638551

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. SHANNON DENISE SHEACredential: M.D.

Location Address3900 UNIVERSITY BLVD S STE 2Jacksonville, FL 32216-4331

Mailing Address120 King StJacksonville, FL 32204-2410 · (904) 760-4940

Phone(904) 760-4940

Sole ProprietorYes

Enumeration DateApril 23, 2010

Last NPPES UpdateJanuary 25, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 25, 2021

✔ NPI 1053638551 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME130808

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3900 UNIVERSITY BLVD S STE 2, Jacksonville, FL 32216

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shannon Denise Shea M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CHANDROUTIE DAISY SANTOO-VAZQUEZ ARNP-BC

Nurse Practitioner (Family)

3900 UNIVERSITY BLVD S STE 2
JACKSONVILLE, FL 32216

Duval County (904) 760-4904

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Shea's NPI number?

The NPI number for Shannon Shea is 1053638551. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Shannon Shea located?

Shannon Shea practices at 3900 University Blvd S Ste 2, Jacksonville, FL 32216. The listed phone number is (904) 760-4940.

What is Shannon Shea's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Shannon Shea enrolled in Medicare?

Yes. Shannon Shea is registered in the Medicare PECOS enrollment system.

What insurance does Shannon Shea accept?

Health plans from AvMed and Molina Healthcare list Shannon Shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shannon Shea was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.