SHAUN MACKEY (APRN) – Nurse Practitioner, NPI 1891102372

SHAUN MACKEY (APRN) is a healthcare provider. based in Sanford, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 71016349A (IN). The NPI Number for SHAUN MACKEY (APRN) is 1891102372

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
SHAUN MACKEY (APRN)
NPI
1891102372
Phone
Not provided
Address
127 KAYWOOD DR
Enumeration Date
17 July 2014
Last Update Date
31 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3176216262
Graduation Year
2014 (12 years ago)
PAC ID
7315207446
Group Practice PAC ID
1759416662
Professional Enrollment ID
I20250319000734
Address ID
IN462561695IN7150XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness85
Years active:11State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for SHAUN MACKEY (APRN)

  • 127 KAYWOOD DR

    SANFORD, FL 327718838

    Phone:

    Type: Mailing

  • 601 E ALTAMONTE DR

    ALTAMONTE SPG, FL 327014802

    Phone: (317) 490-2444

    Type: Location

  • 601 E ROLLINS ST

    ORLANDO, FL 328031248

    Phone: (407) 303-7283

    Fax: (407) 303-0347

    Type: Mailing

  • 6626 E 75TH ST STE 500

    INDIANAPOLIS, IN 462502890

    Phone:

    Type: Mailing

  • 7150 CLEARVISTA DR

    INDIANAPOLIS, IN 462561695

    Phone: (317) 621-6262

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 10 Open Payments records for all available years, with a total value of $499.

Total Amount is formed as General ($499) + Research ($0) + Ownership ($0) = $499.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: ABIOMED ($224).

Total Amount

$499

General + Research + Ownership

Payments

10

Total payment records

General Amount

$499

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2025-03-19

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20180208002794INurse PractitionerFLTBD
I20250319000734INurse PractitionerINTBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes13290$0
View full utilization report →

Insurance plans in this area (ZIP 32771)

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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: 1759416662View full group profile

Reviews

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Frequently asked questions

How do payers reference SHAUN MACKEY (APRN)?
For SHAUN MACKEY (APRN), use NPI 1891102372 as the unique 10-digit identifier.
Is SHAUN MACKEY (APRN) still an active registrant?
SHAUN MACKEY (APRN) carries an active NPI according to the public dataset.
What expertise is attributed to SHAUN MACKEY (APRN)?
SHAUN MACKEY (APRN)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SHAUN MACKEY (APRN)?
Travel planning: use Sanford, Florida as the reference point for SHAUN MACKEY (APRN), then confirm.
What does 6 location(s) imply?
6 practice locations appear in the available data.

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