Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHANNON REYES APRN
NPI 1962350991
Nurse Practitioner - Family in Port Charlotte, FL

Active since March 17, 2026PECOS Enrolled
22395 EDGEWATER DR, PORT CHARLOTTE, FL 33980(941) 766-7222(866) 504-5536 Get Directions Write a Review

NPPES record last updated: July 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2026, Jul 17, 2026, Mar 17, 2026 (3 updates tracked since 2026).

About Shannon Reyes Aprn NPPES

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

SHANNON REYES APRN (NPI 1962350991) is an individual family provider in Port Charlotte, Florida, licensed in Florida (APRN11047888) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in North Port.

NPPES Registry Identity

NPI1962350991
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHANNON REYESCredential: APRN
Location Address22395 EDGEWATER DRPort Charlotte, FL 33980-2012
Mailing AddressPo Box 102222Atlanta, GA 30368-2222 · (239) 274-8200
Fax(866) 504-5536
Sole ProprietorNo
Enumeration DateMarch 17, 2026
Last NPPES UpdateJuly 24, 20263 updates tracked since enumeration
NPPES CertifiedJuly 24, 2026
NPI 1962350991 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 · APRN11047888
22395 EDGEWATER DR, Port Charlotte, FL 33980

Secondary Practice Location 1

Location 11390 Grand Venture DrNorth Port, FL 34286-2309 · Phone (941) 257-2280

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Shannon Reyes 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 33980 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.

Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Nurse Practitioner
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Nurse Practitioner (Family)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Nurse Practitioner (Family)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Internal Medicine (Medical Oncology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Nurse Practitioner (Gerontology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980
Nurse Practitioner (Gerontology)
22395 EDGEWATER DR
PORT CHARLOTTE, FL 33980

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 Shannon Reyes's NPI number?

The NPI number for Shannon Reyes is 1962350991. It was assigned to this individual provider in the NPPES registry on March 17, 2026.

Where is Shannon Reyes located?

Shannon Reyes practices at 22395 Edgewater Dr, Port Charlotte, FL 33980. The listed phone number is (941) 766-7222.

What is Shannon Reyes's specialty?

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

Is Shannon Reyes enrolled in Medicare?

Yes. Shannon Reyes is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shannon Reyes was last updated on July 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.