MRS. SHINY JOSEPH
NPI 1801652151
Nurse Practitioner - Family in Leesburg, FL

Q: What is Shiny Joseph's NPI number?

The NPI number for Shiny Joseph is 1801652151. It was assigned to this individual provider in the NPPES registry on February 26, 2024.

Q: What is Shiny Joseph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Shiny Joseph was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since February 26, 2024PECOS Enrolled

600 E DIXIE AVE, LEESBURG, FL 34748(352) 323-4095 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Shiny Joseph NPPES

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

MRS. SHINY JOSEPH (NPI 1801652151) is an individual family provider in Leesburg, Florida, licensed in Florida (11031448) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801652151

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHINY JOSEPH

Location Address600 E DIXIE AVELeesburg, FL 34748-5925

Mailing Address30405 Tokara TerMount Dora, FL 32757-7882 · (352) 408-5704

Phone(352) 323-4095

Sole ProprietorYes

Enumeration DateFebruary 26, 2024

NPPES CertifiedFebruary 23, 2024

✔ NPI 1801652151 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 · 11031448

600 E DIXIE AVE, Leesburg, FL 34748

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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. Shiny Joseph 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 34748 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 20

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

MR. JARED SAINT JOHN APRN

Nurse Practitioner (Family)