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

Shannon Mallory Keegan, FNP

Individual provider Nurse Practitioner · NPI 1427719657

Shannon Mallory Keegan, FNP is a Nurse Practitioner in New Smyrna Beach, Florida. Qualified in 2021, 5 years ago. Practices with Mid-Florida Dermatology Associates PA, a 48-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
5
Licensed in
FL
In the registry since
2022
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

519 N Dixie Fwy
New Smyrna Beach, FL 32168-6707
Phone: (407) 299-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 11016157 (FL)
Nurse Practitioner Taxonomy 363L00000X · Licence 11016157 (FL)

Record details

NPI number1427719657
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedJanuary 10, 2022
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025

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 Mid-Florida Dermatology Associates P.A. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New Smyrna Beach