SHAWNDOLYN BRUTEN
NPI 1629685060
Nurse Practitioner - Family in Daytona Beach, FL

Q: What is Shawndolyn Bruten's NPI number?

The NPI number for Shawndolyn Bruten is 1629685060. It was assigned to this individual provider in the NPPES registry on September 29, 2020.

Q: What is Shawndolyn Bruten'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 Shawndolyn Bruten was last updated on September 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 September 29, 2020PECOS Enrolled

325 S SEGRAVE ST, DAYTONA BEACH, FL 32114(386) 868-6180 Get Directions Write a Review

NPPES record last updated: September 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Shawndolyn Bruten NPPES

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

SHAWNDOLYN BRUTEN (NPI 1629685060) is an individual family provider in Daytona Beach, Florida, licensed in Florida (APRN11008739) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629685060

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAWNDOLYN BRUTEN

Location Address325 S SEGRAVE STDaytona Beach, FL 32114-4815

Mailing AddressPo Box 3731Deland, FL 32721-3731 · (386) 868-6180

Phone(386) 868-6180

Sole ProprietorNo

Enumeration DateSeptember 29, 2020

NPPES CertifiedSeptember 29, 2020

✔ NPI 1629685060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN11008739

Also ListedNurse PractitionerTaxonomy 363L00000X · License APRN11008739 (FL)

325 S SEGRAVE ST, Daytona Beach, FL 32114

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shawndolyn Bruten is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32114 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 5

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

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