Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Shivani Patel , PA-C

Physician Assistant • Cocoa Beach, FL

Active NPI 1215379904 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

105 S Banana River Blvd Fl 2
Cocoa Beach, FL 329315041

Call 3212000346 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Telephone 3212000346
Organization at the Same NPPES Address or Phone
Shadetree Dermatology Llc Facility NPI 1366297376

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Rockledge, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Shadetree Dermatology Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2012

Medicare patients

1,076 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $354,327 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $245,246 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

1,299 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$36,329 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $197.50 across 9 records.

By nature of payment

  • Food and Beverage: $197.50 across 9 records.

Reporting-company totals (3 largest of 5)

  • Novartis Pharmaceuticals Corporation: $84.83 across 4 records.
  • ABBVIE INC.: $45.73 across 2 records.
  • Solta Medical, a division of Bausch Health US, LLC: $24.77 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

14 years (graduated 2012)

CMS Doctors and Clinicians data list 2012 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2013

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Shivani Patel has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Shivani Patel as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cocoa Beach and Florida

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: 252. Middle half: 82 to 807.

Too few clinicians listed under Physician Assistant in Cocoa Beach have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A higher Medicare-allowed amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $19,984. Middle half: $7,371 to $51,670.

Too few clinicians listed under Physician Assistant in Cocoa Beach have Medicare Part B data for 2024 to compare.

Paid by Medicare

A higher Medicare payment amount than 95% of clinicians listed under Physician Assistant in Florida (2024, 4,397 clinicians with data). Median for this group: $14,814. Middle half: $5,414 to $38,190.

Too few clinicians listed under Physician Assistant in Cocoa Beach have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

More Part D prescriptions than 80% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: 270. Middle half: 78 to 825.

Too few clinicians listed under Physician Assistant in Cocoa Beach have Medicare Part D data for 2024 to compare.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Florida (2024, 4,894 clinicians with data). Median for this group: $5,225. Middle half: $703 to $70,250.

Too few clinicians listed under Physician Assistant in Cocoa Beach have Medicare Part D data for 2024 to compare.

8 active clinicians are listed under Physician Assistant with a practice address in Cocoa Beach, FL (10,260 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $197.50.

Manufacturer Payment Nature Product Type Amount ($)
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
— General $25.50
Solta Medical, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
Fraxel General $24.77
SUN PHARMACEUTICAL INDUSTRIES INC.
Food and Beverage
In-kind items and services
BLU-U General $24.13
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $24.07
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $23.90
ABBVIE INC.
Food and Beverage
In-kind items and services
SKYRIZI General $21.66
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
Rhapsido General $18.30
Pfizer Inc.
Food and Beverage
In-kind items and services
LITFULO General $18.04
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
COSENTYX General $17.13

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths
1,295 249 $12.93 $5.28
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
697 584 $179.87 $75.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
660 532 $254.66 $105.81
11102 Biopsy of related skin growth, first growth
463 376 $198.63 $68.32
17004 Destruction of precancer skin growth, 15 or more growths
453 324 $332.83 $136.06
17110 Destruction of skin growth, 1-14 growths
451 373 $222.25 $89.67
17000 Destruction of precancer skin growth, 1 growth
450 373 $132.79 $39.72
11103 Biopsy of related skin growth, each additional growth
202 117 $99.59 $40.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
98 94 $111.74 $46.71
J7308 Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg)
54 49 $785.54 $383.82
96567 Application of light to destroy precancer skin growth
52 47 $267.24 $106.64
17262 Destruction of cancer skin growth of trunk, arms, or legs, 1.1-2.0 cm
46 37 $354.11 $125.38
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm
43 40 $599.73 $248.40
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm
41 34 $483.46 $105.27
J9260 Injection, methotrexate sodium, 50 mg
35 18 $5.92 $2.67
11200 Removal of skin tag, 1-15 skin tags
32 31 $181.85 $49.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
32 32 $222.90 $92.92
11900 Injection into skin growth, 1-7 growths
25 21 $113.50 $37.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
24 24 $333.44 $139.51
96405 Administration of chemotherapy into growth, 1-7
23 14 $161.37 $47.82
11104 Punch biopsy, first skin growth
17 16 $245.92 $95.79
10040 Acne surgery
15 15 $228.98 $94.95
69100 Biopsy of ear
15 14 $190.00 $57.15
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
14 13 $2.44 $0.96

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Ketoconazole Ketoconazole 278 8,574 $6,260.60 164
Ammonium Lactate Ammonium Lactate 264 10,408 $6,570.37 174
Fluorouracil Fluorouracil 141 4,177 $10,904.65 121
Triamcinolone Acetonide Triamcinolone Acetonide 104 2,919 $943.21 80
Metronidazole Metronidazole 78 2,649 $3,964.51 44
Clindamycin Phosphate Clindamycin Phosphate 61 1,934 $2,362.26 49
Valacyclovir Valacyclovir Hcl 52 161 $289.73 42
Clobetasol Propionate Clobetasol Propionate 44 1,410 $1,262.06 33
Mupirocin Mupirocin 23 448 $131.31 20
Ciclopirox Ciclopirox 22 794 $461.43 20
Tacrolimus Tacrolimus 21 621 $1,775.91 13
Cephalexin Cephalexin 17 39 $31.75 14
Doxycycline Hyclate Doxycycline Hyclate 15 252 $146.03 12
Tretinoin Tretinoin 15 570 $1,224.70 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES FL PA9106944

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Fl Rr Medicare
P01385335 (FL)
Other Identifier Fl Medicare
HP529Z (FL)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20131107001194

Enrollment State Jurisdiction

FL

PECOS Control ID

6709011307

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Shadetree Dermatology Llc

105 S Banana River Blvd, Cocoa Beach, FL 329315041

Phone: 3212000346

Secondary Practice Locations

389 Commerce Pkwy Ste 160

Rockledge, FL 329554202

Phone: 3212000346

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

3 listed
Elysia Dana , APRN

Nurse Practitioner - Family

NPI 1225673809

Advanced Practice Registered Nurse

Bonnie Fox , PA

Physician Assistant

NPI 1740590454

Physician Assistant

NPI 1972948875

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
📍
Updated Practice Location February 27, 2026

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3212000346)

📍
Updated Business Mailing Address February 27, 2026

Registered at 105 S BANANA RIVER BLVD FL 2, COCOA BEACH, FL 329315041 (Tel: 3212000346)

📍
Updated Practice Location October 30, 2018

Registered at 7125 MURRELL RD STE A, VIERA, FL 329407999 (Tel: 3215749171)

📍
Updated Business Mailing Address October 30, 2018

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3214341982)

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NPI Profile Active November 04, 2013

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) November 04, 2013

Registered at 7125 MURRELL RD, VIERA, FL 329407999 (Tel: 3212428790)

📍
Business Mailing Address (Initial Record) November 04, 2013

Registered at 1223 GATEWAY DR, MELBOURNE, FL 329012607 (Tel: 3212428790)

👤
Provider Name / Credentials (Initial Record) November 04, 2013

Recorded as SHIVANI PATEL, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2013

Physician Assistant (license number reported to NPPES: FL PA9106944)

🟢
Initial NPI Registration & Enumeration July 23, 2013

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1215379904
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 23, 2013
Last Update: February 27, 2026
Sole Proprietor: No

Other Physician Assistants in Cocoa Beach

Healthcare providers in Cocoa Beach

Mailing Address

105 S Banana River Blvd Fl 2

Cocoa Beach, FL 329315041

Phone: 3212000346

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.