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

Jennifer Lynn Shah, AG-ACNP

Individual provider Acute Care Nurse Practitioner · NPI 1104349679

Jennifer Lynn Shah, AG-ACNP is a Nurse Practitioner in Orlando, Florida. Qualified in 2017, 9 years ago. Practices with Medstar Medical Group II LLC, a 3,717-clinician group and accepts Medicare assignment. Licensed in Florida and Ohio.

Years since qualifying
9
Licensed in
FL, OH
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

601 E Rollins St
Orlando, FL 32803-1248
Phone: (407) 303-7283
Fax: (407) 303-0347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11002906 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 364129 (OH)

Record details

NPI number1104349679
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedJuly 17, 2017
Last updated in NPPESApril 20, 2023
Certification dateApril 20, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Medstar Medical Group Ii Llc — 3717 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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