DR. CAMEO C SHANE DNP, FNP-BC
NPI 1891270088
Nurse Practitioner in Jacksonville, FL
About Dr. Cameo C Shane Dnp, Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CAMEO C SHANE DNP, FNP-BC (NPI 1891270088) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN9311208) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic, and maintains a secondary practice location in Mankato.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Dr. Cameo C Shane Dnp, Fnp-bc 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 Cameo Shane reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Jacksonville, FL 32224
- Reassigned Medicare billing, Florida enrollment
- 1,828 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 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic
Acute Care Hospitals · Jacksonville, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 32224 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.
JACKSONVILLE, FL 32224
JACKSONVILLE, FL 32224
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 Cameo Shane's NPI number?
The NPI number for Cameo Shane is 1891270088. It was assigned to this individual provider in the NPPES registry on October 3, 2018.
Where is Cameo Shane located?
Cameo Shane practices at 4500 San Pablo Rd S, Jacksonville, FL 32224. The listed phone number is (904) 953-2000.
What is Cameo Shane's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Cameo Shane enrolled in Medicare?
Yes. Cameo Shane 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 Cameo Shane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cameo Shane reassigns Medicare benefits to Mayo Clinic Jacksonville (Jacksonville, 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 Cameo Shane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Cameo Shane affiliated with any hospitals?
According to CMS data, Cameo Shane is affiliated with Mayo Clinic.
When was this NPI record last updated?
The NPPES record for Cameo Shane was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Cameo C Shane, DNP, FNP-BC · NPI 1891270088
Nurse Practitioner physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since October 3, 2018.
## Identity
- **NPI:** 1891270088 (Entity type: Individual)
- **Enumerated:** October 3, 2018
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** APRN9311208 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 4500 SAN PABLO RD S, Jacksonville, FL 32224-1865
- **Phone:** (904) 953-2000
## 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:** Mayo Clinic Jacksonville (NPI 1174143986, Jacksonville, 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:** August 31, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1891270088) · Data from the CMS NPPES public registry.