SHAVONNE M PATRICK APRN
NPI 1548907629
Nurse Practitioner - Gerontology in Fort Myers, FL

Q: What is Shavonne Patrick's NPI number?

The NPI number for Shavonne Patrick is 1548907629. It was assigned to this individual provider in the NPPES registry on May 19, 2022.

Q: What is Shavonne Patrick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Shavonne Patrick was last updated on March 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 19, 2022PECOS EnrolledAccepts Medicare Assignment

13685 DOCTORS WAY STE 350, FORT MYERS, FL 33912(239) 343-3800(239) 343-3993 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 29, 2022, May 19, 2022 (2 updates tracked since 2022).

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About Shavonne M Patrick Aprn NPPES

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

SHAVONNE M PATRICK APRN (NPI 1548907629) is an individual gerontology provider in Fort Myers, Florida, licensed in Florida (APRN11020422) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1548907629

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHAVONNE M PATRICKCredential: APRN

Location Address13685 DOCTORS WAY STE 350Fort Myers, FL 33912-4347

Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-3800 · Fax (239) 343-3993

Phone(239) 343-3800

Fax(239) 343-3993

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateMay 19, 2022

Last NPPES UpdateMarch 20, 20242 updates tracked since enumeration

NPPES CertifiedMarch 20, 2024

✔ NPI 1548907629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11020422

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License APRN (FL)

13685 DOCTORS WAY STE 350, Fort Myers, FL 33912

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Other Identifiers 1

Medicaid114673000FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.Insurance ›

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

Shavonne M Patrick 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 ID9537549894

PECOS Enrollment IDI20220703000036

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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services16 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

16 services12 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment 63047

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

11 services11 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL

5/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100012

Location2776 Cleveland AveFort Myers, FL 33901 · Lee County

Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100220

Location13681 Doctors WayFort Myers, FL 33912 · Lee County

Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100244

Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33912 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

$91.69 typical visit price

range $58.56 – $179.05

Typical copayment $22.92 (range $14.64 – $44.76)

Most-billed visit code 99203

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

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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.

MR. WESLEY H FAUNCE III M.D.

Neurological Surgery