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

MS. Shannon Mack, ARNP

Individual provider Acute Care Nurse Practitioner · NPI 1194113936

MS. Shannon Mack, ARNP is a Nurse Practitioner in Miami, Florida. Qualified in 2014, 12 years ago. Practices with Public Health Trust of Miami Dade County Florida, a 468-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

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Practice location Address checks out

1611 NW 12th Ave
Miami, FL 33136-1096
Phone: (305) 585-8508
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence APRN9304496 (FL)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence ARNP9304496 (FL)

Record details

NPI number1194113936
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorYes
NPI enumeratedJanuary 1, 2015
Last updated in NPPESJune 20, 2024
Certification dateJune 20, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Public Health Trust Of Miami Dade County Florida — 468 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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