Shannon Mallory Keegan, FNP - Medicare Nurse Practitioner in New Smyrna Beach, FL

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Shannon Mallory Keegan, FNP is a medicare enrolled "Nurse Practitioner - Family" in New Smyrna Beach, Florida. Her current practice location is 519 N Dixie Fwy, New Smyrna Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 299-7333.

Shannon Mallory Keegan is licensed to practice in Florida (license number 11016157) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427719657.

Contact Information

Shannon Mallory Keegan, FNP
519 N Dixie Fwy,
New Smyrna Beach, FL 32168-6707
(407) 299-7333
Not Available

Map and Direction




Provider's Profile

Full NameShannon Mallory Keegan
GenderFemale
SpecialityNurse Practitioner - Family
Location519 N Dixie Fwy, New Smyrna Beach, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1427719657
  • Provider Enumeration Date: 01/10/2022
  • Last Update Date: 07/23/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9436532280
  • Enrollment ID: I20220811003225

Medical Identifiers

Medical identifiers for Shannon Mallory Keegan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427719657NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 11016157 (Florida)Secondary
363LF0000XNurse Practitioner - Family 11016157 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shannon Mallory Keegan allows following entities to bill medicare on her behalf.
Entity NameMid-florida Dermatology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619018561
PECOS PAC ID: 1254233786
Enrollment ID: O20051018000717

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shannon Mallory Keegan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shannon Mallory Keegan, FNP
519 N Dixie Fwy,
New Smyrna Beach, FL 32168-6707

Ph: (386) 428-8197		Shannon Mallory Keegan, FNP
519 N Dixie Fwy,
New Smyrna Beach, FL 32168-6707

Ph: (407) 299-7333

Reviews and Comments


Nurse Practitioner Nurses in New Smyrna Beach, FL

Anthony Lagana, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 161 N Causeway, Suite A, New Smyrna Beach, FL 32169
Phone: 386-424-1584    
Lisa F Macdowell, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 265 N Causeway, New Smyrna Beach, FL 32169
Phone: 386-423-9161    Fax: 386-423-3094
Dr. Jennifer Lee Williams, DNP, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 845 State Road 44, New Smyrna Beach, FL 32168
Phone: 386-425-2550    
Mrs. Jessica Tapp,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1055 N Dixie Fwy, New Smyrna Beach, FL 32168
Phone: 386-423-0505    
Jeff Andrew Baldo Yepez, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 161 N Causeway Ste A, New Smyrna Beach, FL 32169
Phone: 386-424-1584    
Mrs. Andrea Lee Grabowski, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1129 N Dixie Freeway, New Smyrna Beach, FL 32168
Phone: 386-281-0939    
Sarah Lower, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 401 Palmetto St, New Smyrna Beach, FL 32168
Phone: 386-424-5269    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.