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SHAYE LARIE NP
NPI 1013478569
Nurse Practitioner - Primary Care in Gualala, CA

Active since March 27, 2019PECOS Enrolled
38001 OLD STAGE RD, GUALALA, CA 95445(707) 412-3176(855) 538-4796 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 10, 2024, Apr 10, 2024, Oct 25, 2019 (3 updates tracked since 2019).

About Shaye Larie Np NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAYE LARIE NP (NPI 1013478569) is an individual primary care provider in Gualala, California, licensed in California (95207424) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013478569
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameSHAYE LARIECredential: NP
Location Address38001 OLD STAGE RDGualala, CA 95445-8543
Mailing AddressPo Box 1074Gualala, CA 95445-1074 · (208) 954-3525
Phone(707) 412-3176
Fax(855) 538-4796
Sole ProprietorNo
Enumeration DateMarch 27, 2019
Last NPPES UpdateOctober 2, 20253 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1013478569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Licenses✔ Licensed in CA · 95207424✔ Licensed in CA · NP95207424
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 60704 (ID)
38001 OLD STAGE RD, Gualala, CA 95445
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shaye Larie Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95445 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAROLYN HAND N.P.
Nurse Practitioner
38001 OLD STAGE RD
GUALALA, CA 95445
Mendocino County (707) 412-3176
STEPHANIE HSIEH
Physician Assistant
38001 OLD STAGE RD
GUALALA, CA 95445
Mendocino County (707) 412-3176

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shaye Larie's NPI number?

The NPI number for Shaye Larie is 1013478569. It was assigned to this individual provider in the NPPES registry on March 27, 2019.

Where is Shaye Larie located?

Shaye Larie practices at 38001 Old Stage Rd, Gualala, CA 95445. The listed phone number is (707) 412-3176.

What is Shaye Larie's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Shaye Larie enrolled in Medicare?

Yes. Shaye Larie is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaye Larie was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.