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MR. SCOTT ALAN SHIRLEY APRN
NPI 1104554526
Nurse Practitioner - Acute Care in Fleming Island, FL

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
84.38/100
CMS Quality Rating
2349 VILLAGE SQUARE PKWY STE 112, FLEMING ISLAND, FL 32003(904) 886-9686(904) 253-6964 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Scott Alan Shirley Aprn NPPES

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

MR. SCOTT ALAN SHIRLEY APRN (NPI 1104554526) is an individual acute care provider in Fleming Island, Florida, licensed in Florida (APRN11021337) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, is affiliated with Baptist Health Medical Center - Jacksonville, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104554526
Entity TypeIndividualMale
Primary Taxonomy363LA2100X
Provider Legal NameMR. SCOTT ALAN SHIRLEYCredential: APRN
Location Address2349 VILLAGE SQUARE PKWY STE 112Fleming Island, FL 32003-4319
Mailing Address10922 Scott Mill RdJacksonville, FL 32223-6512 · (904) 508-7049
Phone(904) 886-9686
Fax(904) 253-6964
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2022
Last NPPES UpdateJanuary 14, 2025
NPPES CertifiedJanuary 14, 2025
✔ NPI 1104554526 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
License✔ Licensed in FL · APRN11021337
2349 VILLAGE SQUARE PKWY STE 112, Fleming Island, FL 32003
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11747 Baptist Clay DrFleming Island, FL 32003-8502 · Phone (904) 253-6910
Location 2700 3rd St Ste 302Neptune Beach, FL 32266-5082 · Phone (904) 997-3800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Scott Alan Shirley Aprn 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 ID8820472194
PECOS Enrollment IDI20220906001272
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

3

Medicare enrollment records show Scott Shirley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cancer Specialists, LLC
14 mi
Hematology & Oncology
7015 AC SKINNER PARKWAY, SUITE 1
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 66 clinicians in this Medicare group
NPI 1528323268 (904) 363-2113
Respiratory Critical Care And Sleep Medicine Associates,inc
16 mi
Pulmonary Disease
1443 SAN MARCO BLVD STE 101
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 62 clinicians in this Medicare group
NPI 1386622629 (904) 253-6910
Jacksonville Lung Clinic LLC
23 mi
Critical Care Medicine
1350 13TH AVE S
Jacksonville Beach, FL 32250
  • Reassigned Medicare billing, Florida enrollment
  • 23 clinicians in this Medicare group
NPI 1861991937 (904) 627-2900

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

Hospital Affiliations CMS Care Compare 2

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

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100088
Location800 Prudential DrJacksonville, FL 32207 · Duval County
Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32003 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.

84.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.4
Promoting Interoperability97
Improvement Activities40
Cost72.34

Other Providers at the Same Location NPPES 3

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

DR. STUART FIADH SHAH MD
Internal Medicine (Pulmonary Disease)
2349 VILLAGE SQUARE PKWY STE 112
FLEMING ISLAND, FL 32003
Duval County (904) 253-6910
DR. WILLIAM LINVILLE DO
Internal Medicine (Pulmonary Disease)
2349 VILLAGE SQUARE PKWY STE 112
FLEMING ISLAND, FL 32003
Duval County (904) 253-6910
DR. WILLIAM MARTIN GILL MD
Internal Medicine (Pulmonary Disease)
2349 VILLAGE SQUARE PKWY STE 112
FLEMING ISLAND, FL 32003
Duval County (904) 253-6910

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 Scott Shirley's NPI number?

The NPI number for Scott Shirley is 1104554526. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Scott Shirley located?

Scott Shirley practices at 2349 Village Square Pkwy Ste 112, Fleming Island, FL 32003. The listed phone number is (904) 886-9686.

What is Scott Shirley's specialty?

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

Is Scott Shirley enrolled in Medicare?

Yes. Scott Shirley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Scott Shirley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Scott Shirley reassigns Medicare benefits to 3 organizations: Cancer Specialists, LLC (Jacksonville, FL), Respiratory Critical Care And Sleep Medicine Associates,inc (Jacksonville, FL) and Jacksonville Lung Clinic LLC (Jacksonville Beach, 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 Scott Shirley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Scott Shirley accept?

Health plans from Oscar Health Maintenance Organization of Florida list Scott Shirley 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.

Is Scott Shirley affiliated with any hospitals?

According to CMS data, Scott Shirley is affiliated with Baptist Health Medical Center - Jacksonville and Baptist Medical Center Beaches.

When was this NPI record last updated?

The NPPES record for Scott Shirley was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.