NATALIE MIXSON SHALLOW DNP, APRN, FNP-BC
NPI 1164829768
Nurse Practitioner - Family in Jacksonville, FL
About Natalie Mixson Shallow Dnp, Aprn, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NATALIE MIXSON SHALLOW DNP, APRN, FNP-BC (NPI 1164829768) is an individual family provider in Jacksonville, Florida, licensed in Florida (11006356) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted 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)
Natalie Mixson Shallow Dnp, Aprn, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32207 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Natalie Shallow's NPI number?
The NPI number for Natalie Shallow is 1164829768. It was assigned to this individual provider in the NPPES registry on November 25, 2014.
Where is Natalie Shallow located?
Natalie Shallow practices at 841 Prudential Dr Ste 1900, Jacksonville, FL 32207. The listed phone number is (904) 427-8453.
What is Natalie Shallow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Natalie Shallow enrolled in Medicare?
Yes. Natalie Shallow is registered in the Medicare PECOS enrollment system.
What insurance does Natalie Shallow accept?
Health plans from AvMed list Natalie Shallow 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 Natalie Shallow was last updated on April 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Natalie Mixson Shallow, DNP, APRN, FNP-BC · NPI 1164829768
Family physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since November 25, 2014.
## Identity
- **NPI:** 1164829768 (Entity type: Individual)
- **Enumerated:** November 25, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 11006356 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 841 PRUDENTIAL DR STE 1900, Jacksonville, FL 32207-8373
- **Phone:** (904) 427-8453 · **Fax:** (904) 633-0958
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 12, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1164829768) · Data from the CMS NPPES public registry.