JUSTIN SHINER
NPI 1669036356
Student in an Organized Health Care Education/Training Program in Torrance, CA

Active since April 28, 2019PECOS EnrolledAccepts Medicare Assignment
1000 W CARSON ST, TORRANCE, CA 90502(424) 306-5570 Get Directions Write a Review

NPPES record last updated: April 15, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 15, 2024, Apr 28, 2019 (2 updates tracked since 2019).

About Justin Shiner NPPES

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

JUSTIN SHINER (NPI 1669036356) is an individual student in an organized health care education/training program in Torrance, California and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1669036356
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJUSTIN SHINER
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address410 Casey RdEast Amherst, NY 14051-1452 · (716) 866-4892
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 2019
Enumeration DateApril 28, 2019
Last NPPES UpdateApril 15, 20242 updates tracked since enumeration
NPPES CertifiedApril 15, 2024
✔ NPI 1669036356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1000 W CARSON ST, Torrance, CA 90502

Secondary Practice Location 1

Location 11611 NW 12th AveMiami, FL 33136-1005 · Phone (305) 355-1122

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

Justin Shiner 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 ID2466953625
PECOS Enrollment IDI20250828004483
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 Justin Shiner reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Body Imaging
1480 W ORANGE BLOSSOM TRL
Apopka, FL 32712
  • Reassigned Medicare billing, Florida enrollment
  • 433 clinicians in this Medicare group
Diagnostic Radiology
601 E ROLLINS STREET
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 428 clinicians in this Medicare group

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 3

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

Adventhealth New Smyrna Beach

Acute Care Hospitals · New Smyrna Beach, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100014
Location401 Palmetto StNew Smyrna Beach, FL 32170 · Volusia County
Emergency services

Adventhealth Daytona Beach

Acute Care Hospitals · Daytona Beach, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100068
Location301 Memorial Medical ParkwayDaytona Beach, FL 32117 · Volusia 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.

Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502

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 Justin Shiner's NPI number?

The NPI number for Justin Shiner is 1669036356. It was assigned to this individual provider in the NPPES registry on April 28, 2019.

Where is Justin Shiner located?

Justin Shiner practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-5570.

What is Justin Shiner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Justin Shiner enrolled in Medicare?

Yes. Justin Shiner 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 Justin Shiner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Shiner reassigns Medicare benefits to 2 organizations: Florida Radiology Imaging At Lake Mary, LLC (Apopka, FL) and Florida Hospital Medical Group Inc (Orlando, 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 Justin Shiner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Justin Shiner affiliated with any hospitals?

According to CMS data, Justin Shiner is affiliated with Adventhealth Orlando, Adventhealth New Smyrna Beach and Adventhealth Daytona Beach.

When was this NPI record last updated?

The NPPES record for Justin Shiner was last updated on April 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.