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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.

MRS. SHANTELL POLIDOR APRN
NPI 1770233579
Nurse Practitioner - Family in Jacksonville, FL

Active since March 25, 2022PECOS EnrolledAccepts Medicare Assignment
6841 BLANDING BLVD, JACKSONVILLE, FL 32244(904) 862-2175 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Shantell Polidor Aprn NPPES

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

MRS. SHANTELL POLIDOR APRN (NPI 1770233579) is an individual family provider in Jacksonville, Florida, licensed in Florida (APRN11018822) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1770233579
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SHANTELL POLIDORCredential: APRN
Location Address6841 BLANDING BLVDJacksonville, FL 32244-4418
Mailing Address5752 Rover DrJacksonville, FL 32244-1430 · (904) 713-7428
Phone(904) 862-2175
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 25, 2022
Last NPPES UpdateJuly 15, 2026
NPPES CertifiedJuly 15, 2026
✔ NPI 1770233579 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 · APRN11018822
6841 BLANDING BLVD, Jacksonville, FL 32244
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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 and accepts Medicare assignment

Mrs. Shantell Polidor Aprn 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 ID9739561689
PECOS Enrollment IDI20220809001973
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
823 services281 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
362 services198 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
99 services91 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
99 services92 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
95 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32244 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.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEDICATED SENIOR MEDICAL CENTER OF FLORIDA, LLC
Specialist
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (305) 628-6117
DINA MARIA FEDOR ARNP
Nurse Practitioner (Family)
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
MRS. JANELL MILLER ARNP
Nurse Practitioner (Family)
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
DR. CHERILYN PATRICE HANNA MAHASE MBBS MD FACP
Internal Medicine
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
TANISHA MICHAELLE SAINT-FLEUR
Nurse Practitioner
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
LUCKSLEY JEAN MD
Family Medicine
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
DR. KYLE RAUCH MD
Family Medicine
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175
NICHOLAS STAGLIANO MD
Family Medicine
6841 BLANDING BLVD
JACKSONVILLE, FL 32244
Duval County (904) 862-2175

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 Shantell Polidor's NPI number?

The NPI number for Shantell Polidor is 1770233579. It was assigned to this individual provider in the NPPES registry on March 25, 2022.

Where is Shantell Polidor located?

Shantell Polidor practices at 6841 Blanding Blvd, Jacksonville, FL 32244. The listed phone number is (904) 862-2175.

What is Shantell Polidor's specialty?

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

Is Shantell Polidor enrolled in Medicare?

Yes. Shantell Polidor 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.

When was this NPI record last updated?

The NPPES record for Shantell Polidor was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 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.