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

Mrs. Mallory Ann Shepkosky, APRN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1235806019

Mrs. Mallory Ann Shepkosky, APRN, FNP-C is a Nurse Practitioner in Fort Pierce, Florida. Qualified in 2021, 5 years ago. Practices with Lawnwood Cardiovascular Surgery LLC, a 54-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2021
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

2100 Nebraska Ave Ste 201
Fort Pierce, FL 34950-4832
Phone: (772) 465-8100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 11013690 (FL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 11013690 (FL)

Record details

NPI number1235806019
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN , FNP-C
Sole proprietorNo
NPI enumeratedAugust 27, 2021
Last updated in NPPESFebruary 9, 2023
Certification dateFebruary 9, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Lawnwood Cardiovascular Surgery Llc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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