Look up the most recent NPI and PECOS records

Shana Caldwell

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

2863 Delaney Ave, Orlando, FL 32806-5495

PECOS Enrollment

Based on the most recent information from CMS, provider Shana Caldwell is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1578166971
Provider Type
Individual
Full Name
Caldwell, Shana
Gender
Female

Sole Proprietor
No
Enumeration Date
11/18/2020
Last Updated
1/5/2021

Contact Information

Practice Location

2863 Delaney Ave, Orlando, FL 32806-5495

(407) 843-1620

Unlisted Fax

Mailing Location

14205 Conifer Dr, Orlando, FL 32832-6545

(321) 945-8892

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 11009746 Florida

Shana Caldwell

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Serra, Maniya Nova

Benyehuda, Michaelle

Bailey, Yan

Quiroz Lopez, Alba Lucia

Delacruz, Courtney Regis

Gabriel, Sherlyne

Zanfardino, Myrna Luz

Nolan, Henrice

Tolentino, Cherrymar

Gowie-Jerome, Simone Lemar