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

Mrs. Shannon Rose Ellis, RN, MSN, FNP-C

Individual provider Family Nurse Practitioner · NPI 1750989356

Mrs. Shannon Rose Ellis, RN, MSN, FNP-C is a Nurse Practitioner in Casselberry, Florida. Qualified in 2020, 6 years ago. Practices with Florida Sports and Family Health Center PA, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
6
Licensed in
FL
In the registry since
2020
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1460 Fairway Oaks Dr
Casselberry, FL 32707-5140
Phone: (407) 413-2866
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11009709 (FL)

Record details

NPI number1750989356
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MSN , FNP-C
Sole proprietorNo
NPI enumeratedOctober 15, 2020
Last updated in NPPESOctober 15, 2020
Certification dateOctober 9, 2020

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 Florida Sports And Family Health Center Pa — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Casselberry