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Shane C Hernesman MD PA

Family Medicine Physician in Cocoa, FL · enumerated 2007 · authorized official Shane Hernesman, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1164545620

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Registry record

Entity type Organization (Type 2)
Legal business name Shane C Hernesman MD PA
Practice address 505 Delannoy Ave, Cocoa, FL, 32922
Phone (321) 631-4940
Fax (321) 631-4941
Enumeration date Apr 9, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License ME83457 (FL) Primary

Authorized official

Name Shane Hernesman
Title President
Phone (321) 631-4940

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Shane C Hernesman MD PA located?
The practice location on file with NPPES is in Cocoa, FL.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-08-22. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.