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MRS. SHANNON ROSE ELLIS RN, MSN, FNP-C
NPI 1750989356
Nurse Practitioner - Family in Casselberry, FL

Active since October 15, 2020PECOS Enrolled
1460 FAIRWAY OAKS DR, CASSELBERRY, FL 32707(407) 413-2866 Get Directions Write a Review

NPPES record last updated: October 15, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Shannon Rose Ellis Rn, Msn, Fnp-c NPPES

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

MRS. SHANNON ROSE ELLIS RN, MSN, FNP-C (NPI 1750989356) is an individual family provider in Casselberry, Florida, licensed in Florida (11009709) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750989356
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANNON ROSE ELLISCredential: RN, MSN, FNP-C
Location Address1460 FAIRWAY OAKS DRCasselberry, FL 32707-5140
Mailing Address1460 Fairway Oaks DrCasselberry, FL 32707-5140 · (407) 413-2866
Phone(407) 413-2866
Sole ProprietorNo
Enumeration DateOctober 15, 2020
NPPES CertifiedOctober 9, 2020
✔ NPI 1750989356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · 11009709
1460 FAIRWAY OAKS DR, Casselberry, FL 32707
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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)

Mrs. Shannon Rose Ellis Rn, Msn, Fnp-c 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 32707 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.

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 Shannon Ellis's NPI number?

The NPI number for Shannon Ellis is 1750989356. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Where is Shannon Ellis located?

Shannon Ellis practices at 1460 Fairway Oaks Dr, Casselberry, FL 32707. The listed phone number is (407) 413-2866.

What is Shannon Ellis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shannon Ellis enrolled in Medicare?

Yes. Shannon Ellis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Ellis was last updated on October 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.