SHANNON PEREZ
NPI 1609654821
Physician Assistant - Surgical in Orlando, FL

Q: What is the provider's specialty?

The provider's specialty is Physician Assistant with taxonomy code 363AS0400X and a focus in Surgical.

Active since September 19, 2023PECOS EnrolledAccepts Medicare Assignment

1812 N MILLS AVE, ORLANDO, FL 32803(407) 897-3499 Get Directions Write a Review

NPPES record last updated: June 4, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 4, 2026, Dec 7, 2023 (2 updates tracked since 2023).

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About Shannon Perez NPPES

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

SHANNON PEREZ (NPI 1609654821) is an individual surgical provider in Orlando, Florida and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1609654821

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameSHANNON PEREZ

Location Address1812 N MILLS AVEOrlando, FL 32803-1834

Mailing Address1812 N Mills AveOrlando, FL 32803-1834

Phone(407) 897-3499

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateSeptember 19, 2023

Last NPPES UpdateJune 4, 20262 updates tracked since enumeration

NPPES CertifiedJune 4, 2026

✔ NPI 1609654821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9117944 (FL)

1812 N MILLS AVE, Orlando, FL 32803

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Secondary Practice Locations 4

Location 1258 S Chickasaw Trl Ste 202Orlando, FL 32825-3501 · Phone (407) 303-6865

Location 2218 Strathy LnWinter Park, FL 32792-4133 · Phone (407) 628-3073

Location 3400 Celebration Pl Ste A260Celebration, FL 34747-4970 · Phone (407) 764-4079

Location 4270 Northlake Blvd Ste 1008Altamonte Springs, FL 32701-4335 · Phone (407) 834-3300

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 Perez 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 ID8527417898

PECOS Enrollment IDI20231212001746

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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

77 services60 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.

71 services49 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

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.

23 services19 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100007

Location601 E Rollins StOrlando, FL 32803 · Orange County

Emergency services Birthing friendly

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.

DONALD V JABLONSKI M.D.

Urology