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SHANNON K STUCKERT APRN
NPI 1467020677
Nurse Practitioner - Family in Tampa, FL

Active since June 14, 2021PECOS EnrolledAccepts Medicare Assignment
15320 AMBERLY DR STE A, TAMPA, FL 33647(813) 977-2090(813) 977-9107 Get Directions Write a Review

NPPES record last updated: January 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 6, 2025, Aug 3, 2022, Jul 26, 2021 and 2 more (5 updates tracked since 2021).

About Shannon K Stuckert Aprn NPPES

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

SHANNON K STUCKERT APRN (NPI 1467020677) is an individual family provider in Tampa, Florida, licensed in Florida (APRN11013922) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467020677
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON K STUCKERTCredential: APRN
Location Address15320 AMBERLY DR STE ATampa, FL 33647-1647
Mailing Address15320 Amberly Dr Ste ATampa, FL 33647-1647 · (813) 977-2090 · Fax (813) 977-9107
Phone(813) 977-2090
Fax(813) 977-9107
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 14, 2021
Last NPPES UpdateJanuary 6, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2025
✔ NPI 1467020677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11013922
15320 AMBERLY DR STE A, Tampa, FL 33647
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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

Shannon K Stuckert 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 ID6901209618
PECOS Enrollment IDI20210719002068
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 Stuckert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quantum Practitioner Services LLC
36 mi
Family
6547 KENAVA LOOP
Palmetto, FL 34221
  • Reassigned Medicare billing, Florida enrollment
  • 40 clinicians in this Medicare group
NPI 1194426197 (941) 285-9062
Cardiac Vision LLC
157 mi
Cardiovascular Disease
7807 BAYMEADOWS RD E, SUITE 209
Jacksonville, FL 32256
  • Reassigned Medicare billing, Florida enrollment
  • 124 clinicians in this Medicare group
NPI 1144651373 (904) 230-1204

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

Areas of Expertise CMS Part B claims

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33647 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 3

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

DR. DEBORAH F SHULTZ MD
General Practice
15320 AMBERLY DR STE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090
ANDREW DYLAN SMITH PA-C
Physician Assistant
15320 AMBERLY DR STE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090
JENNIFER SAUER APRN
Nurse Practitioner (Family)
15320 AMBERLY DR STE A
TAMPA, FL 33647
Hillsborough County (813) 977-2090

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 Stuckert's NPI number?

The NPI number for Shannon Stuckert is 1467020677. It was assigned to this individual provider in the NPPES registry on June 14, 2021.

Where is Shannon Stuckert located?

Shannon Stuckert practices at 15320 Amberly Dr Ste A, Tampa, FL 33647. The listed phone number is (813) 977-2090.

What is Shannon Stuckert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Stuckert enrolled in Medicare?

Yes. Shannon Stuckert 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 Shannon Stuckert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shannon Stuckert reassigns Medicare benefits to 2 organizations: Quantum Practitioner Services LLC (Palmetto, FL) and Cardiac Vision LLC (Jacksonville, 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 Stuckert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shannon Stuckert was last updated on January 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.