Micaela Rae Shannon
NPI 1023654647ActiveIndividual· Nurse Practitioner, Family· Jacksonville, FL
Nurse Practitioner, Family with Millennium Physician Group LLC, practicing in Jacksonville, Florida. Their prescriptions cost Medicare Part D more than their services did: $669,424 for 5,643 claims, against $19,017 paid for services in 2024. Astrazeneca Pharmaceuticals LP was the largest of 22 companies reporting payments in 2025, $2,381 in all, mostly food and beverage. Lists Baptist Health Medical Center - Jacksonville and 1 other hospital as hospital affiliations.
Overview
| NPI | 1023654647 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Nov 19, 2019 |
| Last updated in NPPES | Mar 4, 2024 |
| Certified by provider | Mar 4, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN11015772 | FL |
| Nurse Practitioner, Primary Care | 363LP2300X | APRN11015772 | FL |
| Registered Nurse, Emergency | 163WE0003X | RN9469517 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 189 |
|---|---|
| Services billed | 843 across 44 procedure codes |
| Paid by Medicare | $19,017 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,643 · 12,343 30-day fills |
|---|---|
| Patients | 735 |
| Total drug cost | $669,424 |
| Generic share | 84% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Millennium Physician Group LLCJacksonville, FL · 982 clinicians
Hospital affiliations
- Baptist Health Medical Center - JacksonvilleJacksonville, FL
- Ed Fraser Memorial HospitalMacclenny, FL
Other facilities
- Centerwell Home HealthHome health agency · Orange Park, FL
- Brooks Rehabilitation Hospital University CampusInpatient rehabilitation facility · Jacksonville, FL
Industry payments (Open Payments)
- 2025$2,381 · 110 payments from 22 companies
- 2024$1,846 · 96 payments from 20 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $291.16 | 24 |
| Lundbeck LLC | $245.83 | 11 |
| Axsome Therapeutics, Inc. | $185.34 | 3 |
| Corcept Therapeutics | $169.46 | 3 |
| Bayer Healthcare Pharmaceuticals Inc. | $168.52 | 8 |
What the 2025 payments were for
- Food and Beverage$2,381 · 110 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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