SHIRLEY J HOM PA C
NPI 1972598860
Physician Assistant - Medical in Orlando, FL

Active since September 16, 2005PECOS EnrolledAccepts Medicare Assignment
1400 S ORANGE AVE, ORLANDO, FL 32806(321) 843-8010(321) 843-6330 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 19, 2024, Mar 11, 2021 (2 updates tracked since 2021).

About Shirley J Hom Pa C NPPES

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

SHIRLEY J HOM PA C (NPI 1972598860) is an individual medical provider in Orlando, Florida, licensed in Florida (PA9102291) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Orlando Health, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1972598860
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSHIRLEY J HOMCredential: PA C
Location Address1400 S ORANGE AVEOrlando, FL 32806-2134
Mailing Address1400 S Orange AveOrlando, FL 32806-2134 · (321) 843-8010 · Fax (321) 843-6330
Fax(321) 843-6330
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJuly 19, 20242 updates tracked since enumeration
NPPES CertifiedJuly 19, 2024
NPI 1972598860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9102291
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA9102291 (FL)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License PA9102291 (FL)
1400 S ORANGE AVE, Orlando, FL 32806

Secondary Practice Locations 2

Location 14215 Edgewater DrOrlando, FL 32804-2206 · Phone (407) 539-2000 · Fax (407) 398-0050
Location 2601 E Rollins StOrlando, FL 32803-1248 · Phone (407) 609-0095

Other Identifiers 2

OtherE8990GFL · Medicare Group Ptan
Medicaid291475100FL

Accepted Insurance

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

Shirley J Hom Pa C 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 ID4981597705
PECOS Enrollment IDI20101021000973
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.

Hospital Affiliations CMS Care Compare 2

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

Orlando Health

Acute Care Hospitals · Orlando, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100006
Location52 W Underwood StOrlando, FL 32806 · Orange County
Emergency services Birthing friendly

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

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.

Physician Assistant (Medical)
1400 S ORANGE AVE
ORLANDO, FL 32806
Physician Assistant
1400 S ORANGE AVE
ORLANDO, FL 32806
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Internal Medicine (Medical Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE, MP 710
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806
Radiology (Radiation Oncology)
1400 S ORANGE AVE
ORLANDO, FL 32806
Nurse Practitioner (Adult Health)
1400 S ORANGE AVE
ORLANDO, FL 32806

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 Shirley Hom's NPI number?

The NPI number for Shirley Hom is 1972598860. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Shirley Hom located?

Shirley Hom practices at 1400 S Orange Ave, Orlando, FL 32806. The listed phone number is (321) 843-8010.

What is Shirley Hom's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Shirley Hom enrolled in Medicare?

Yes. Shirley Hom 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.

What insurance does Shirley Hom accept?

Health plans from AvMed and Wellpoint list Shirley Hom as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shirley Hom affiliated with any hospitals?

According to CMS data, Shirley Hom is affiliated with Orlando Health and Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Shirley Hom was last updated on July 19, 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.