JENNIFER LYNN SHAH AG-ACNP
NPI 1104349679
Nurse Practitioner - Acute Care in Orlando, FL

Q: What is Jennifer Shah's NPI number?

The NPI number for Jennifer Shah is 1104349679. It was assigned to this individual provider in the NPPES registry on July 17, 2017.

Q: What is Jennifer Shah's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Shah was last updated on April 20, 2023. 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.

Active since July 17, 2017PECOS EnrolledAccepts Medicare Assignment

86.92/100

CMS Quality Rating

601 E ROLLINS ST, ORLANDO, FL 32803(407) 303-7283(407) 303-0347 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 10, 2020, Jul 17, 2017 (2 updates tracked since 2017).

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About Jennifer Lynn Shah Ag-acnp NPPES

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

JENNIFER LYNN SHAH AG-ACNP (NPI 1104349679) is an individual acute care provider in Orlando, Florida, licensed in Florida (APRN11002906) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Tampa, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1104349679

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameJENNIFER LYNN SHAHCredential: AG-ACNP

Location Address601 E ROLLINS STOrlando, FL 32803-1248

Mailing Address2501 N Orange Ave Ste 401Orlando, FL 32804-4644

Phone(407) 303-7283

Fax(407) 303-0347

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateJuly 17, 2017

Last NPPES UpdateApril 20, 20232 updates tracked since enumeration

NPPES CertifiedApril 20, 2023

✔ NPI 1104349679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

Licenses✔ Licensed in FL · APRN11002906✔ Licensed in OH · 364129

601 E ROLLINS ST, Orlando, FL 32803

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellpoint.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Lynn Shah Ag-acnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153688445

PECOS Enrollment IDI20200207001739, I20230815000163, I20260219001716

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.

Areas of Expertise CMS Part B claims 3

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

70 services68 patients

Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556

This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.

24 services23 patients

Insertion of artery tube for blood sampling or infusion through skin 36620

This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.

15 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100173

Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County

Emergency services Birthing friendly

Medstar Montgomery Medical Center

Acute Care Hospitals · Olney, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210018

Location18101 Prince Philip DriveOlney, MD 20832 · Montgomery County

Emergency services Birthing friendly

Western Maryland Regional Medical Center

Acute Care Hospitals · Cumberland, MD

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210027

Location12500 Willowbrook RoadCumberland, MD 21502 · Allegany County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32803 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.92/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.08

Promoting Interoperability

100

Improvement Activities

Cost

80.8

Other Providers at the Same Location NPPES 20

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

MRS. ELIZABETH BONET CNM

Advanced Practice Midwife