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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANTELLE BARTRA
NPI 1689004905
Nurse Practitioner - Pediatrics in Hollywood, FL

Active since November 22, 2013PECOS EnrolledAccepts Medicare Assignment
3501 JOHNSON ST, HOLLYWOOD, FL 33021(954) 265-7750 Get Directions Write a Review

NPPES record last updated: August 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 24, 2026, Oct 10, 2022, Oct 19, 2021 and 1 more (4 updates tracked since 2019).

About Shantelle Bartra NPPES

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

SHANTELLE BARTRA (NPI 1689004905) is an individual pediatrics provider in Hollywood, Florida, licensed in Florida (APRN9330396) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689004905
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSHANTELLE BARTRA
Location Address3501 JOHNSON STHollywood, FL 33021-5421
Mailing Address2900 Corporate WayMiramar, FL 33025-3925
Phone(954) 265-7750
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 22, 2013
Last NPPES UpdateAugust 24, 20264 updates tracked since enumeration
NPPES CertifiedAugust 24, 2026
✔ NPI 1689004905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in FL · APRN9330396✔ Licensed in CA · 95010423
Also ListedNurse PractitionerTaxonomy 363L00000X · License ARNP9330396 (FL)
3501 JOHNSON ST, Hollywood, FL 33021
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1801 N Flamingo Rd Ste 107Pembroke Pines, FL 33028-1019 · Phone (954) 265-7750
Location 216281 Bass Rd Ste 304Fort Myers, FL 33908-9687 · Phone (239) 343-7490 · Fax (239) 343-4197

Other Identifiers 2

Medicaid115124300FL
Medicaid010291400FL

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

Shantelle Bartra 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 ID7719116482
PECOS Enrollment IDI20140130000278
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.

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33021 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.

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. LESTER GOLDBERG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. TIMOTHY M. BURKE D.O.
Emergency Medicine
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
DR. MOHAMMAD ALI ANSARI LARI M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921
DR. STANLEY JARED CHANG M.D.
Radiology (Diagnostic Radiology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 437-4800
SAMANTHA THEMAS
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 265-5900
DR. CHANCE MILAN YURCO PHARMD, RPH
Pharmacist
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 987-2000
MR. GREGORY GRAVES JR. CAA
Anesthesiologist Assistant
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 939-5000
DR. SHERRY LOU WOODHOUSE M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3501 JOHNSON ST
HOLLYWOOD, FL 33021
Broward County (954) 985-5921

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 Shantelle Bartra's NPI number?

The NPI number for Shantelle Bartra is 1689004905. It was assigned to this individual provider in the NPPES registry on November 22, 2013.

Where is Shantelle Bartra located?

Shantelle Bartra practices at 3501 Johnson St, Hollywood, FL 33021. The listed phone number is (954) 265-7750.

What is Shantelle Bartra's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Shantelle Bartra enrolled in Medicare?

Yes. Shantelle Bartra 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.

What insurance does Shantelle Bartra accept?

Health plans from AvMed list Shantelle Bartra 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.

Is Shantelle Bartra affiliated with any hospitals?

According to CMS data, Shantelle Bartra is affiliated with Lee Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shantelle Bartra was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 39 days 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.