SHANNON BRAY MSN, APRN, FNP-C
NPI 1235859307
Nurse Practitioner - Adult Health in Melbourne, FL

Q: What is Shannon Bray's NPI number?

The NPI number for Shannon Bray is 1235859307. It was assigned to this individual provider in the NPPES registry on August 30, 2022.

Q: What is Shannon Bray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Shannon Bray was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 30, 2022PECOS EnrolledAccepts Medicare Assignment

1130 HICKORY ST STE B, MELBOURNE, FL 32901(321) 752-0944(321) 434-7590 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 10, 2026, Dec 3, 2025, Jul 9, 2025 and 1 more (4 updates tracked since 2022).

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About Shannon Bray Msn, Aprn, Fnp-c NPPES

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

SHANNON BRAY MSN, APRN, FNP-C (NPI 1235859307) is an individual adult health provider in Melbourne, Florida, licensed in Florida (APRN11039454) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1235859307

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSHANNON BRAYCredential: MSN, APRN, FNP-C

Location Address1130 HICKORY ST STE BMelbourne, FL 32901-1973

Mailing Address3300 S Fiske BlvdRockledge, FL 32955-4306 · (321) 752-0944

Phone(321) 752-0944

Fax(321) 434-7590

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 30, 2022

Last NPPES UpdateApril 10, 20264 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1235859307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in FL · APRN11039454

1130 HICKORY ST STE B, Melbourne, FL 32901

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Other Identifiers 2

OtherVQ179FL · Hfmg

Medicaid127439000FL

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

Shannon Bray Msn, Aprn, Fnp-c 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 ID1951816859

PECOS Enrollment IDI20250710004229

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.

Hospital Affiliations CMS Care Compare

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

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32901 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 6

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

RADIAH DAVINA ADAR NIXON APRN

Nurse Practitioner