Shelby Nicole Mayoral, AGACNP-BC
Nurse Practitioner in Miami, FL. Individual provider (NPI-1).
NPI number1033769724
StatusActive
Last updated in NPPESOct 6, 2022
Details
- NPI
- 1033769724
- Entity type
- Individual (NPI-1)
- Name
- Shelby Nicole Mayoral
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 16, 2019
- Certification date
- Oct 6, 2022
- Last updated
- Oct 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11004707 | FL | Yes |
| 363LA2100X | Nurse Practitioner, Acute Care | RN9426101 | FL |
Practice location
7400 Sw 87th Ave Ste 100Miami, FL 33173-5458
Phone 786-204-4201
Mailing address
Po Box 198054Atlanta, GA 30384-8054
Phone 786-594-6880
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