SHENELL FORMAN APRN
NPI 1962210898
Nurse Practitioner - Gerontology in Bradenton, FL

Q: What is Shenell Forman's NPI number?

The NPI number for Shenell Forman is 1962210898. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Q: What is Shenell Forman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Shenell Forman was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 December 23, 2024PECOS Enrolled

5985 SILVER FALLS RUN STE 200, BRADENTON, FL 34211(941) 907-4737 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shenell Forman Aprn NPPES

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

SHENELL FORMAN APRN (NPI 1962210898) is an individual gerontology provider in Bradenton, Florida, licensed in Florida (APRN11036240) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962210898

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSHENELL FORMANCredential: APRN

Location Address5985 SILVER FALLS RUN STE 200Bradenton, FL 34211-1291

Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200

Phone(941) 907-4737

Sole ProprietorNo

Enumeration DateDecember 23, 2024

Last NPPES UpdateJanuary 17, 2025

NPPES CertifiedJanuary 17, 2025

✔ NPI 1962210898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LG0600X

License✔ Licensed in FL · APRN11036240

5985 SILVER FALLS RUN STE 200, Bradenton, FL 34211

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shenell Forman Aprn 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 34211 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.

DR. AMIR HARANDI M.D.

Internal Medicine (Medical Oncology)