SHAWN STATUTO (APRN) – Family Nurse Practitioner, NPI 1811740657

SHAWN STATUTO (APRN) is a healthcare provider. based in Weeki wachee, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 11032264 (FL). The NPI Number for SHAWN STATUTO (APRN) is 1811740657

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN STATUTO (APRN)
NPI
1811740657
Phone
(352) 573-1715
Address
11195 MARSH WREN AVE
Enumeration Date
10 April 2024
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3525966632
Graduation Year
2023 (3 years ago)
PAC ID
5496196982
Group Practice PAC ID
8426413931
Professional Enrollment ID
I20240515001693
Address ID
FL346135409BR11375BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SHAWN STATUTO (APRN)

  • 11195 MARSH WREN AVE

    WEEKI WACHEE, FL 346143034

    Phone: (352) 573-1715

    Type: Mailing

  • 491 MARINER BLVD FL 34609

    SPRING HILL, FL 346095680

    Phone: (352) 515-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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: 2024-05-15

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240515001693INurse PractitionerFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34614)

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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: 8426413931View full group profile
NameSpecialtyState
Emergency Medicine, Undersea And Hyperbaric MedicineNY
Family Practice, Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Emergency MedicinePA
Emergency MedicineFL
Emergency MedicineFL
Family Practice, Emergency MedicineFL

Reviews

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Frequently asked questions

Does SHAWN STATUTO (APRN) have a public NPI I can cite?
Public records show SHAWN STATUTO (APRN) under NPI 1811740657.
Is SHAWN STATUTO (APRN) currently accepting referrals based on NPI status?
Registry metadata lists SHAWN STATUTO (APRN) as active.
What services align with SHAWN STATUTO (APRN)'s listing?
SHAWN STATUTO (APRN)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to SHAWN STATUTO (APRN)?
The directory associates SHAWN STATUTO (APRN) with Weeki Wachee, Florida. Check all listed addresses for suites or satellite offices.
Can I export SHAWN STATUTO (APRN)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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