SHANNEN ELISABETH WHIDDON DNP, ARNP
NPI 1720574296
Nurse Practitioner - Family in Tampa, FL
About Shannen Elisabeth Whiddon Dnp, Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANNEN ELISABETH WHIDDON DNP, ARNP (NPI 1720574296) is an individual family provider in Tampa, Florida, licensed in Florida (ARNP9409939) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Shannen Elisabeth Whiddon Dnp, Arnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Shannen Whiddon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tampa, FL 33612
- Reassigned Medicare billing, Florida enrollment
- 992 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Shannen Whiddon's NPI number?
The NPI number for Shannen Whiddon is 1720574296. It was assigned to this individual provider in the NPPES registry on July 7, 2018.
Where is Shannen Whiddon located?
Shannen Whiddon practices at 12902 Usf Magnolia Dr, Tampa, FL 33612. The listed phone number is (888) 663-3488.
What is Shannen Whiddon's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Shannen Whiddon enrolled in Medicare?
Yes. Shannen Whiddon 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 organization bills Medicare for Shannen Whiddon's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shannen Whiddon reassigns Medicare benefits to H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (Tampa, FL). The 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 Shannen Whiddon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shannen Whiddon was last updated on July 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Shannen Elisabeth Whiddon, DNP, ARNP · NPI 1720574296
Family physician in Tampa, Florida. Individual provider, active in the CMS NPPES registry since July 7, 2018.
## Identity
- **NPI:** 1720574296 (Entity type: Individual)
- **Enumerated:** July 7, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** ARNP9409939 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 12902 USF MAGNOLIA DR, Tampa, FL 33612-9416
- **Phone:** (888) 663-3488
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer Scrn Ctr Inc (NPI 1306833595, Tampa, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 7, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1720574296) · Data from the CMS NPPES public registry.