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SHANNON MILLER MOULTON APRN
NPI 1265296925
Nurse Practitioner in Tampa, FL

Active since February 12, 2024PECOS Enrolled
14055 RIVEREDGE DR STE 250, TAMPA, FL 33637(813) 929-5451(813) 929-5465 Get Directions Write a Review

NPPES record last updated: August 18, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shannon Miller Moulton Aprn NPPES

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

SHANNON MILLER MOULTON APRN (NPI 1265296925) is an individual nurse practitioner in Tampa, Florida, licensed in Florida (APRN11031067) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Wesley Chapel, and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1265296925
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSHANNON MILLER MOULTONCredential: APRN
Location Address14055 RIVEREDGE DR STE 250Tampa, FL 33637-2141
Mailing Address2600 Bruce B Downs BlvdWesley Chapel, FL 33544-9207 · (813) 446-5780
Phone(813) 929-5451
Fax(813) 929-5465
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateFebruary 12, 2024
Last NPPES UpdateAugust 18, 2026
NPPES CertifiedAugust 18, 2026
✔ NPI 1265296925 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · APRN11031067
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN11031067 (FL)
14055 RIVEREDGE DR STE 250, Tampa, FL 33637
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Secondary Practice Location 1

Location 117809 Green Willow DrTampa, FL 33647-2242 · Phone (813) 446-5780

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shannon Miller Moulton Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739676677
PECOS Enrollment IDI20251014004580
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

2

Medicare enrollment records show Shannon Moulton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
4.3 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Brevard Physician Associates, PLLC
101 mi
Vascular & Interventional Radiology
8075 SPYGLASS HILL RD
Melbourne, FL 32940
  • Reassigned Medicare billing, Florida enrollment
  • 378 clinicians in this Medicare group
NPI 1124691159 (321) 837-3820

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

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

Adventhealth Wesley Chapel

Acute Care Hospitals · Wesley Chapel, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100319
Location2600 Bruce B Downs BlvdWesley Chapel, FL 33544 · Pasco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33637 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 20

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

DR. GLENN WILLIAM STAMBO M.D.
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451
DR. ALAN BENNIE M.D.
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451
CHIA-EN HSU M.D.
Radiology (Body Imaging)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451
DR. EVELIO ALBERTO ALVAREZ-ASSEF MD
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (954) 916-5448
AUN ALI HUSSAIN MD
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451
BERENICE LOPEZ LEAL MD
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451
NICOLE CARDOSO DRAGNA MD
Radiology (Diagnostic Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 396-6238
JENNIFER SWEENEY MD
Radiology (Vascular & Interventional Radiology)
14055 RIVEREDGE DR STE 250
TAMPA, FL 33637
Hillsborough County (813) 929-5451

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 Shannon Moulton's NPI number?

The NPI number for Shannon Moulton is 1265296925. It was assigned to this individual provider in the NPPES registry on February 12, 2024.

Where is Shannon Moulton located?

Shannon Moulton practices at 14055 Riveredge Dr Ste 250, Tampa, FL 33637. The listed phone number is (813) 929-5451.

What is Shannon Moulton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Shannon Moulton enrolled in Medicare?

Yes. Shannon Moulton is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shannon Moulton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Moulton reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and Brevard Physician Associates, PLLC (Melbourne, 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 Shannon Moulton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shannon Moulton accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Shannon Moulton 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 Shannon Moulton affiliated with any hospitals?

According to CMS data, Shannon Moulton is affiliated with Adventhealth Wesley Chapel.

When was this NPI record last updated?

The NPPES record for Shannon Moulton was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.