Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elizabeth Shirley

Individual provider Family Nurse Practitioner · NPI 1659904761

Elizabeth Shirley is a Nurse Practitioner in Eustis, Florida. Qualified in 2020, 6 years ago. Practices with Lake Internal Medicine Associates, a 3-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020

Practice location Address checks out

2101 Prevatt St
Eustis, FL 32726-6131
Phone: (352) 589-4774
Fax: (352) 589-5092
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11007301 (FL)

Record details

NPI number1659904761
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 17, 2020
Last updated in NPPESSeptember 19, 2024
Certification dateSeptember 19, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lake Internal Medicine Associates — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eustis