SHAKERA MANGAROO
NPI 1811502610
Anesthesiologist Assistant in Davie, FL

Active since September 09, 2020Accepts Medicare Assignment
78.18/100
CMS Quality Rating
3476 S UNIVERSITY DR, DAVIE, FL 33328(954) 475-4400 Get Directions Write a Review

NPPES record last updated: August 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 18, 2023, Sep 28, 2020, Sep 9, 2020 (3 updates tracked since 2020).

About Shakera Mangaroo NPPES

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

SHAKERA MANGAROO (NPI 1811502610) is an individual anesthesiologist assistant in Davie, Florida and active in the NPI registry since September 2020. She is affiliated with Hca Florida University Hospital, maintains a secondary practice location in Gainesville, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1811502610
Entity TypeIndividualFemale
Primary Taxonomy367H00000X
Provider Legal NameSHAKERA MANGAROO
Location Address3476 S UNIVERSITY DRDavie, FL 33328-2000
Mailing Address3476 S University DrDavie, FL 33328-2000 · (954) 475-4400
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 9, 2020
Last NPPES UpdateAugust 18, 20233 updates tracked since enumeration
NPPES CertifiedAugust 18, 2023
NPI 1811502610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367H00000X
Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3476 S UNIVERSITY DR, Davie, FL 33328

Secondary Practice Location 1

Location 11600 SW Archer RdGainesville, FL 32610-3003 · Phone (352) 265-0111

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

Shakera Mangaroo 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 ID7911326426
PECOS Enrollment IDI20201002001105

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida University Hospital

Acute Care Hospitals · Davie, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100360
Location3476 S University DrDavie, FL 33328 · Broward County
Emergency services Birthing friendly

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.

78.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.54
Promoting Interoperability100
Improvement Activities40
Cost54.74

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.

Pathology (Anatomic Pathology & Clinical Pathology)
3476 S UNIVERSITY DR
DAVIE, FL 33328
Emergency Medicine
3476 S UNIVERSITY DR
DAVIE, FL 33328
Obstetrics & Gynecology
3476 S UNIVERSITY DR
DAVIE, FL 33328
Hospitalist
3476 S UNIVERSITY DR
DAVIE, FL 33328
Audiologist
3476 S UNIVERSITY DR
DAVIE, FL 33328
Internal Medicine (Critical Care Medicine)
3476 S UNIVERSITY DR
DAVIE, FL 33328
Pathology (Anatomic Pathology & Clinical Pathology)
3476 S UNIVERSITY DR
DAVIE, FL 33328
Anesthesiology
3476 S UNIVERSITY DR
DAVIE, FL 33328

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811502610, enumerated as an "individual" on September 09, 2020.

The provider is located at 3476 S UNIVERSITY DR DAVIE, FL 33328 and the phone number is (954) 475-4400.

Anesthesiologist Assistant with taxonomy code 367H00000X.

Shakera Mangaroo is affiliated with: HCA FLORIDA UNIVERSITY HOSPITAL.