Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861483950 Individual Practitioner Female Practitioner

Shelly Brock , ARNP

Nurse Practitioner • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Shelly Brock, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Jacksonville, FL. Practice services are available at 4500 SAN PABLO RD S under active NPI credentials.

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

Practice Location & Contact Primary Location

Practice Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

Telephone 9049532000
Associated Practice Facility / Clinic
🏢 Mayo Clinic Jacksonville Facility NPI 1790772317

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
16.9% 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 (2017)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
209 114 $109.17 $89.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
13 12 $145.37 $121.58

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License FL ARNP9169313

(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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Katherine Walsh , PA-C, MPH

Physician Assistant

NPI 1003015280

Physician Assistant (Certified), Master of Public Health

Dr. Jami Kinnucan , MD

Internal Medicine - Gastroenterology

NPI 1003045634

Doctor of Medicine (M.D.)

Dr. Glenn Shi , MD

Orthopaedic Surgery

NPI 1003058660

Doctor of Medicine (M.D.)

Dr. Michelle Tulang , MD

Internal Medicine

NPI 1003073586

Doctor of Medicine (M.D.)

NPI 1003100520

Doctor of Medicine (M.D.)

Crystal Lynn , CRNA

Nurse Anesthetist, Certified Registered

NPI 1003148768

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active December 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address December 13, 2017

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865

👤
Provider Name / Credentials Updated December 13, 2017

Recorded as SHELLY BROCK, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2017

Nurse Practitioner (License #ARNP9169313 in FL)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

📍
Updated Business Mailing Address July 08, 2007

Registered at 4500 SAN PABLO RD S, JACKSONVILLE, FL 322241865 (Tel: 9049532000)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as SHELLY BROCK, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Nurse Practitioner (License #ARNP9169313 in FL)

🟢
Initial NPI Registration & Enumeration October 29, 2005

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: 1861483950
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2005
Last Update: December 13, 2017
Sole Proprietor: No

Mailing Address

4500 San Pablo Rd S

Jacksonville, FL 322241865

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.