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SHAYNE LYNNE MANGALINDAN MALIK
NPI 1073061214
Nurse Practitioner - Family in Jacksonville, FL

Active since September 16, 2016PECOS Enrolled
9765 SAN JOSE BLVD, STE. 102, JACKSONVILLE, FL 32257(904) 260-5757(904) 268-0733 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 22, 2022, Sep 16, 2016 (2 updates tracked since 2016).

About Shayne Lynne Mangalindan Malik NPPES

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

SHAYNE LYNNE MANGALINDAN MALIK (NPI 1073061214) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN9372179) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073061214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAYNE LYNNE MANGALINDAN MALIK
Location Address9765 SAN JOSE BLVD, STE. 102Jacksonville, FL 32257-4402
Mailing Address9765 San Jose Blvd, Ste. 102Jacksonville, FL 32257-4402 · (904) 260-5757 · Fax (904) 268-0733
Phone(904) 260-5757
Fax(904) 268-0733
Sole ProprietorYes
Enumeration DateSeptember 16, 2016
Last NPPES UpdateDecember 22, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2022
✔ NPI 1073061214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN9372179
9765 SAN JOSE BLVD, Jacksonville, FL 32257
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shayne Lynne Mangalindan Malik 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shayne Lynne Malik reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Vincents Ambulatory Care Inc
9.3 mi
Neurological Surgery
2 SHIRCLIFF WAY, SUITE 600
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • Medicare enrollment name: St Vincent's Ambulatory Care Inc
  • 544 clinicians in this Medicare group
NPI 1417987124 (904) 308-6769
Vitae Health Medical Florida PLLC
140 mi
Internal Medicine
1775 HUNTINGTON LN
Rockledge, FL 32955
  • Reassigned Medicare billing, Florida enrollment
  • 106 clinicians in this Medicare group
NPI 1013562024 (321) 632-7341

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
392 services56 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
171 services46 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
70 services19 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
56 services24 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
41 services15 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32257 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 8

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

CHITRA KUTHIALA MD PA
Allergy & Immunology
9765 SAN JOSE BLVD, SUITE 108
JACKSONVILLE, FL 32257
Duval County (904) 262-9135
CINTIA FERREIRA CIRIACO
Nurse Practitioner (Family)
9765 SAN JOSE BLVD, SUIT 103
JACKSONVILLE, FL 32257
Duval County (904) 903-7961
LUIS F ANEZ MD PA
Family Medicine
9765 SAN JOSE BLVD, STE 102
JACKSONVILLE, FL 32257
Duval County (904) 260-5757
DR. LUIS F ANEZ MD
Family Medicine
9765 SAN JOSE BLVD, STE 102
JACKSONVILLE, FL 32257
Duval County (904) 260-5757
TERRI JO SERMAN ARNP
Nurse Practitioner
9765 SAN JOSE BLVD, STE.102
JACKSONVILLE, FL 32257
Duval County (904) 260-5757
DR. CHITRA KUTHIALA M.D.
Allergy & Immunology
9765 SAN JOSE BLVD
JACKSONVILLE, FL 32257
Duval County (904) 262-9135
GARY S MCCOY DPM PA
Durable Medical Equipment & Medical Supplies
9765 SAN JOSE BLVD, SUITE 104
JACKSONVILLE, FL 32257
Duval County (904) 262-7087
MARTHA G HERRERA DPM PA
Clinic/Center (Podiatric)
9765 SAN JOSE BLVD, SUITE 107
JACKSONVILLE, FL 32257
Duval County (904) 802-5921

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 Shayne Lynne Malik's NPI number?

The NPI number for Shayne Lynne Malik is 1073061214. It was assigned to this individual provider in the NPPES registry on September 16, 2016.

Where is Shayne Lynne Malik located?

Shayne Lynne Malik practices at 9765 San Jose Blvd Ste. 102, Jacksonville, FL 32257. The listed phone number is (904) 260-5757.

What is Shayne Lynne Malik's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shayne Lynne Malik enrolled in Medicare?

Yes. Shayne Lynne Malik is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shayne Lynne Malik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayne Lynne Malik reassigns Medicare benefits to 2 organizations: St Vincents Ambulatory Care Inc (Jacksonville, FL) and Vitae Health Medical Florida PLLC (Rockledge, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shayne Lynne Malik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shayne Lynne Malik was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.