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SHIRLEY PHAN
NPI 1679953657
Nurse Anesthetist, Certified Registered in Gainesville, FL

Active since June 04, 2015Accepts Medicare Assignment
78.18/100
CMS Quality Rating
1600 SW ARCHER RD, GAINESVILLE, FL 32610(352) 273-8610 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shirley Phan NPPES

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

SHIRLEY PHAN (NPI 1679953657) is an individual nurse anesthetist, certified registered in Gainesville, Florida, licensed in Florida (ARNP2933272) and active in the NPI registry since June 2015. She maintains a secondary practice location in Orlando and is a graduate of Other (2015).

NPPES Registry Identity

NPI1679953657
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSHIRLEY PHAN
Location Address1600 SW ARCHER RDGainesville, FL 32610-8205
Mailing Address9456 Worthington Ridge RdOrlando, FL 32829-8205 · (321) 206-8137
Phone(352) 273-8610
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateJune 4, 2015
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1679953657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in FL · ARNP2933272
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
1600 SW ARCHER RD, Gainesville, FL 32610
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Secondary Practice Location 1

Location 19456 Worthington Ridge RdOrlando, FL 32829-8205 · Phone (321) 206-8137

Other Identifiers 1

Medicaid112370400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..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

Shirley Phan 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 ID7315255999
PECOS Enrollment IDI20150930003237

Medicare Billing Reassignments

8

Medicare enrollment records show Shirley Phan reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Clinical Practice Association Inc
Same address
Surgery
1600 SW ARCHER RD
Gainesville, FL 32610
  • Reassigned Medicare billing, Florida enrollment
  • 3,324 clinicians in this Medicare group
NPI 1063463768 (352) 265-7922
Anesthesia Physician Solutions Of North Florida, LLC
3.2 mi
Anesthesiology
4094 SW 41ST BLVD
Gainesville, FL 32608
  • Reassigned Medicare billing, Florida enrollment
  • 528 clinicians in this Medicare group
NPI 1942149992 (954) 939-5000
Apollo Medical Group Of Ocala LLC
35 mi
Anesthesiology
3241 SW 34TH ST
Ocala, FL 34474
  • Reassigned Medicare billing, Florida enrollment
  • 77 clinicians in this Medicare group
NPI 1477326908 (352) 237-5906
Fleming Island Anesthesia LLC
50 mi
Anesthesiology
1670 EAGLE HARBOR PKWY
Orange Park, FL 32003
  • Reassigned Medicare billing, Florida enrollment
  • 876 clinicians in this Medicare group
NPI 1487945895 (904) 644-0700
Anesthesiologists Of Greater Orlando Inc
81 mi
Anesthesiology
1053 MEDICAL CENTER DR
Orange City, FL 32763
  • Reassigned Medicare billing, Florida enrollment
  • 530 clinicians in this Medicare group
NPI 1457300998 (954) 838-2371
Orlando Anesthesia Consultants PA
90 mi
Anesthesiology
10000 W COLONIAL DR
Ocoee, FL 34761
  • Reassigned Medicare billing, Florida enrollment
  • 108 clinicians in this Medicare group
NPI 1184661696 (407) 667-0444
Guide Anesthesia Fl LLC
100 mi
Nurse Anesthetist, Certified Registered
7974 LAKE UNDERHILL RD
Orlando, FL 32822
  • Reassigned Medicare billing, Florida enrollment
  • 100 clinicians in this Medicare group
NPI 1073408514 (407) 256-0933
Anesthesia Dynamics LLC
148 mi
Anesthesiology
206 2ND ST E
Bradenton, FL 34208
  • Reassigned Medicare billing, Florida enrollment
  • 1,887 clinicians in this Medicare group
NPI 1073001012 (888) 851-4642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Anesthesia for other procedure on urinary system through urethra 00910
Anesthesia for a procedure on the urinary system through the urethra involves using medicine to numb sensation in the area. This is done to ensure you feel no pain or discomfort during the procedure. The medicine can be given locally, regionally, or generally, depending on the specifics of your procedure.
58 services51 patients
Anesthesia for removal of urinary bladder tumors including use of an endoscope 00912
This procedure involves the use of anesthesia to ensure comfort while an endoscope, a thin tube with a light and camera, is used to identify and remove abnormal growths in the bladder. It's a minimally invasive approach to maintain bladder health.
31 services28 patients
Anesthesia for procedure on anus and rectum 00902
Anesthesia for procedures on the anus and rectum ensures comfort during medical procedures. It involves the administration of medication to numb the area or induce sleep, so you don't feel pain or discomfort. This helps doctors perform necessary procedures smoothly and effectively.
25 services24 patients
Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300
Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.
19 services17 patients
Anesthesia for removal of prostate including use of an endoscope 00914
Anesthesia is used during the removal of the prostate to ensure you feel no discomfort. An endoscope, a thin tube with a camera, aids in viewing the area. This procedure involves the careful administration of medicines to help you sleep and prevent pain.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32610 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)
Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…
7%55 patients1/55-star benchmark: 100%
Pre-operative OSA assessment
Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)
95%170 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. BAHAREH EBADIFAR KEITH DO
Pediatrics
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-0462
AFRASYAB KHAN
Surgery
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-0680
GULSUN ERDAG MD
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 265-9900
DR. ALBERT H. MATTIA D.D.S.
Dentist (Prosthodontics)
1600 SW ARCHER RD, D4-4
GAINESVILLE, FL 32610
Alachua County (352) 273-5801
JOANNA CHAFFIN
Pathology (Anatomic Pathology & Clinical Pathology)
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 627-9272
DR. CASEY JUSTIN BEAL MD
Ophthalmology
1600 SW ARCHER RD, BOX 100284
GAINESVILLE, FL 32610
Alachua County (352) 273-8778
WILLIAM CRAIG HICKS CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438
HENRY FONTILLAS PATALINGHUG CRNA
Nurse Anesthetist, Certified Registered
1600 SW ARCHER RD
GAINESVILLE, FL 32610
Alachua County (352) 273-6438

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 Shirley Phan's NPI number?

The NPI number for Shirley Phan is 1679953657. It was assigned to this individual provider in the NPPES registry on June 4, 2015.

Where is Shirley Phan located?

Shirley Phan practices at 1600 SW Archer Rd, Gainesville, FL 32610. The listed phone number is (352) 273-8610.

What is Shirley Phan's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Shirley Phan enrolled in Medicare?

Yes. Shirley Phan 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 Shirley Phan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Phan reassigns Medicare benefits to 8 organizations: Florida Clinical Practice Association Inc (Gainesville, FL), Anesthesia Physician Solutions Of North Florida, LLC (Gainesville, FL), Apollo Medical Group Of Ocala LLC (Ocala, FL), Fleming Island Anesthesia LLC (Orange Park, FL), Anesthesiologists Of Greater Orlando Inc (Orange City, FL) and 3 more organizations, listed in the Medicare section above. 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 Shirley Phan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shirley Phan accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Shirley Phan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shirley Phan was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.