Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184287245 Individual Practitioner Female Practitioner

Vanessa Lynne Shaw , APRN

Nurse Practitioner • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Vanessa Shaw, APRN is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville, FL. Practice services are available at 800 PRUDENTIAL DR STE 1100 under active NPI credentials.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

800 Prudential Dr Ste 1100

Jacksonville, FL 322078202

Telephone 9043886518
Fax 9043841005
Associated Practice Facility / Clinic
🏢 Lyerly Baptist Inc Facility NPI 1851347801

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.7 Yrs
State Avg: 10.0 Yrs
Regional Practice Density
879 Specialists

Practicing in Jacksonville, FL (8990 Statewide)

Telehealth Adoption Rate
28.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
66.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
12 12 $283.00 $95.81

Medical Specialties & State Licenses

CMS Verified: 2022-07-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL APRN11002147

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL 11002147

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License FL APRN11002147

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jessica Defazio , PA-C

Physician Assistant

NPI 1003271404

Physician Assistant (Certified)

Timothy Garrahy , APRN

Nurse Practitioner

NPI 1013530807

Advanced Practice Registered Nurse

Dr. Sasha Vaziri , MD

Neurological Surgery

NPI 1023495017

Doctor of Medicine (M.D.)

Dr. Krishnan Ravindran , MD

Neurological Surgery

NPI 1053872739

Doctor of Medicine (M.D.)

Annalise Deboef , APRN

Nurse Practitioner

NPI 1053926501

Advanced Practice Registered Nurse

Tiffany Dyal

Physician Assistant

NPI 1073009619

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 06, 2022

Registered at 800 PRUDENTIAL DR STE 1100, JACKSONVILLE, FL 322078202 (Tel: 9043886518)

📍
Updated Business Mailing Address July 06, 2022

Registered at PO BOX 746647, ATLANTA, GA 303746647 (Tel: 9043886518)

NPI Profile Active April 15, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2019

Registered at 810 LANE AVE S, JACKSONVILLE, FL 322054785 (Tel: 9047839680)

📍
Updated Business Mailing Address April 15, 2019

Registered at 810 LANE AVE S, JACKSONVILLE, FL 322054439 (Tel: 9047839680)

👤
Provider Name / Credentials Updated April 15, 2019

Recorded as VANESSA SHAW, APRN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2019

Nurse Practitioner (License #11002147 in FL)

🟢
Initial NPI Registration & Enumeration April 15, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184287245
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2019
Last Update: July 06, 2022
Sole Proprietor: No

Mailing Address

Po Box 746647

Atlanta, GA 303746647

Phone: 9043886518

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.