LASHUNDA BLACKSHEAR (ARNP) – Family Nurse Practitioner, NPI 1073099453

Family Nurse Practitioner

LASHUNDA BLACKSHEAR (ARNP) is a healthcare provider. based in Lake park, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. ARNP9245600 (FL). The NPI Number for LASHUNDA BLACKSHEAR (ARNP) is 1073099453

Main info

Female

Sole Proprietor

8 Years Of Experience

Accepts Medicare Assignment

Name

LASHUNDA BLACKSHEAR (ARNP)

NPI

1073099453

Phone

(561) 667-9216

Address

538 CYPRESS DRIVE

Enumeration Date

18 July 2018

Last Update Date

15 January 2024

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5618416960

Graduation Year

2018 (8 years ago)

PAC ID

4385985209

Group Practice PAC ID

4385074574

Professional Enrollment ID

I20190402002603

Address ID

FL334093413WE2247XBLVD501

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience38

Completeness75

Years active:7State licenses:1Digital endpointsOther names

24,243 NURSE PRACTITIONER in FL

Loading map...

Provider Addresses for LASHUNDA BLACKSHEAR (ARNP)

538, Cypress Drive, Lake Park, Palm Beach County, Florida, 33403, United States
LAKE PARK, FL 33403
Phone: (561) 667-9216
Type: Location
2247 PALM BEACH LAKES BLVD STE 206
WEST PALM BEACH, FL 334093413
Phone: (561) 841-6960
Fax: (561) 623-7627
Type: Location
206, Palm Beach Lakes Boulevard, West Palm Beach, Palm Beach County, Florida, 33401, United States
WEST PALM BEACH, FL 334093413
Phone: (561) 841-6960
Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20190402002603	I	Nurse Practitioner	FL	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99285	Emergency department visit with high level of medical decision making	11	11	$0

View full utilization report →

Insurance plans in this area (ZIP 33403)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 4385074574View full group profile