SHELLEY JENNINGS APRN
NPI 1083245906
Nurse Practitioner - Family in Winter Park, FL
About Shelley Jennings Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELLEY JENNINGS APRN (NPI 1083245906) is an individual family provider in Winter Park, Florida, licensed in Florida (APRN11005363) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shelley Jennings Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shelley Jennings reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Mary, FL 32746
- Reassigned Medicare billing, Florida enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Shelley Jennings's NPI number?
The NPI number for Shelley Jennings is 1083245906. It was assigned to this individual provider in the NPPES registry on January 29, 2020.
Where is Shelley Jennings located?
Shelley Jennings practices at 1178 Village Forest Pl, Winter Park, FL 32792. The listed phone number is (407) 760-7510.
What is Shelley Jennings's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shelley Jennings enrolled in Medicare?
Yes. Shelley Jennings is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shelley Jennings's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shelley Jennings reassigns Medicare benefits to Roman Medical LLC (Lake Mary, FL). The 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 Shelley Jennings'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 Shelley Jennings was last updated on January 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shelley Jennings, APRN · NPI 1083245906
Family physician in Winter Park, Florida. Individual provider, active in the CMS NPPES registry since January 29, 2020.
## Identity
- **NPI:** 1083245906 (Entity type: Individual)
- **Enumerated:** January 29, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN11005363 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1178 VILLAGE FOREST PL, Winter Park, FL 32792-8108
- **Phone:** (407) 760-7510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Roman Medical LLC (NPI 1477870160, Lake Mary, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1083245906) · Data from the CMS NPPES public registry.