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

Mr. Scott Alan Shirley, APRN

Individual provider Acute Care Nurse Practitioner · NPI 1104554526

Mr. Scott Alan Shirley, APRN is a Nurse Practitioner in Fleming Island, Florida. Qualified in 2022, 4 years ago. Practices with Jacksonville Lung Clinic LLC, a 12-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
4
Licensed in
FL
In the registry since
2022
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2349 Village Square Pkwy Ste 112
Fleming Island, FL 32003-4319
Phone: (904) 886-9686
Fax: (904) 253-6964
Show map & directions

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

Additional practice locations (2)

  • 1747 Baptist Clay Dr, Fleming Island, FL 32003-8502 — (904) 253-6910
  • 700 3rd St Ste 302, Neptune Beach, FL 32266-5082 — (904) 997-3800

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence APRN11021337 (FL)

Record details

NPI number1104554526
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 12, 2022
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Jacksonville Lung Clinic Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fleming Island