SHANNON ROXSANNE BURGOS APRN
NPI 1497326920
Nurse Practitioner - Family in Weeki Wachee, FL

Q: What is Shannon Burgos's NPI number?

The NPI number for Shannon Burgos is 1497326920. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Q: What is Shannon Burgos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shannon Burgos was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 July 06, 2021PECOS EnrolledAccepts Medicare Assignment

10065 CORTEZ BLVD, WEEKI WACHEE, FL 34613(352) 596-4660(352) 596-4674 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 12, 2026, Jul 6, 2021 (2 updates tracked since 2021).

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About Shannon Roxsanne Burgos Aprn NPPES

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

SHANNON ROXSANNE BURGOS APRN (NPI 1497326920) is an individual family provider in Weeki Wachee, Florida, licensed in Florida (APRN11013994) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Oak Hill Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497326920

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANNON ROXSANNE BURGOSCredential: APRN

Location Address10065 CORTEZ BLVDWeeki Wachee, FL 34613-6389

Mailing Address10065 Cortez BlvdWeeki Wachee, FL 34613-6389 · (352) 596-4660 · Fax (352) 596-4674

Phone(352) 596-4660

Fax(352) 596-4674

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateJuly 6, 2021

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1497326920 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 · APRN11013994

10065 CORTEZ BLVD, Weeki Wachee, FL 34613

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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

Shannon Roxsanne Burgos 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 ID9830565134

PECOS Enrollment IDI20221011002087

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

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

Idicula Medical Associates MD PA

Same address

Specialist

10065 CORTEZ BLVD
Brooksville, FL 34613

Reassigned Medicare billing, Florida enrollment
19 clinicians in this Medicare group

NPI 1982781688 (352) 596-4660

Primary Care Walk In Clinic,pllc

23 mi

Internal Medicine

6329 STATE ROAD 54
New Port Richey, FL 34653

Reassigned Medicare billing, Florida enrollment
8 clinicians in this Medicare group

NPI 1871866871 (727) 844-5555

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.

Hca Florida Oak Hill Hospital

Acute Care Hospitals · Brooksville, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100264

Location11375 Cortez BlvdBrooksville, FL 34613 · Hernando County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34613 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 11

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

DR. GAURAV MATHUR MD

Internal Medicine (Cardiovascular Disease)