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MS. STACEY LYNN SHAW APRN
NPI 1093226789
Nurse Practitioner - Psychiatric/Mental Health in Myrtle Beach, SC

Active since October 20, 2017PECOS EnrolledAccepts Medicare Assignment
607 BRIARWOOD DR STE 6, MYRTLE BEACH, SC 29572(854) 237-5617(854) 237-5618 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 12, 2022, Oct 20, 2017 (2 updates tracked since 2017).

About Ms. Stacey Lynn Shaw Aprn NPPES

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

MS. STACEY LYNN SHAW APRN (NPI 1093226789) is an individual psychiatric/mental health provider in Myrtle Beach, South Carolina, licensed in South Carolina (20127) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1093226789
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. STACEY LYNN SHAWCredential: APRN
Location Address607 BRIARWOOD DR STE 6Myrtle Beach, SC 29572-6733
Mailing Address607 Briarwood Dr Ste 6Myrtle Beach, SC 29572-6733 · (854) 237-5617 · Fax (854) 237-5618
Phone(854) 237-5617
Fax(854) 237-5618
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 20, 2017
Last NPPES UpdateJune 15, 20262 updates tracked since enumeration
NPPES CertifiedJune 15, 2026
✔ NPI 1093226789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in SC · 20127
607 BRIARWOOD DR STE 6, Myrtle Beach, SC 29572
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Harvard Pilgrim Health Care and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Stacey Lynn Shaw Aprn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567720592
PECOS Enrollment IDI20260814000042
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.

Medicare Billing Reassignments

7

Medicare enrollment records show Stacey Shaw reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Carolina Dept Of Mental Health Accounting Office
64 mi
Primary Care
125 E CHEVES ST
Florence, SC 29506
  • Reassigned Medicare billing, South Carolina enrollment
  • 236 clinicians in this Medicare group
NPI 1073113031 (843) 317-4073
Charleston Counseling Center PC
94 mi
Mental Health
871 LOWCOUNTRY BLVD STE 200
Mount Pleasant, SC 29464
  • Reassigned Medicare billing, South Carolina enrollment
  • 285 clinicians in this Medicare group
NPI 1316375678 (843) 501-1099
Mccd Fl Psychiatry Services PA
293 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, South Carolina enrollment
  • 37 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255
River Region Psychiatry Associates LLC
441 mi
Psychiatry
233 WINTON BLOUNT LOOP
Montgomery, AL 36117
  • Reassigned Medicare billing, South Carolina enrollment
  • 56 clinicians in this Medicare group
NPI 1386891497 (334) 270-5502
Grow Healthcare Group PA
559 mi
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Arizona, Massachusetts, New York and South Carolina enrollments
  • 532 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Sondermind, P.A.
1,076 mi
Clinical
801 E DOUGLAS AVE FL 2
Wichita, KS 67202
  • Reassigned Medicare billing, South Carolina enrollment
  • Medicare enrollment name: Sondermind PA
  • 3 clinicians in this Medicare group
NPI 1710647581 (844) 843-7279
Sondermind Provider Network LLC
1,506 mi
Clinical
1738 WYNKOOP ST STE 303
Denver, CO 80202
  • Reassigned Medicare billing, South Carolina enrollment
  • 47 clinicians in this Medicare group
NPI 1760854442 (844) 843-7279

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29572 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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

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

MINDLAB LLC
Nurse Practitioner (Psychiatric/Mental Health)
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572
Horry County (854) 237-5617

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 Stacey Shaw's NPI number?

The NPI number for Stacey Shaw is 1093226789. It was assigned to this individual provider in the NPPES registry on October 20, 2017.

Where is Stacey Shaw located?

Stacey Shaw practices at 607 Briarwood Dr Ste 6, Myrtle Beach, SC 29572. The listed phone number is (854) 237-5617.

What is Stacey Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Stacey Shaw enrolled in Medicare?

Yes. Stacey Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Stacey Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Shaw reassigns Medicare benefits to 7 organizations: South Carolina Dept Of Mental Health Accounting Office (Florence, SC), Charleston Counseling Center PC (Mount Pleasant, SC), Mccd Fl Psychiatry Services PA (Jacksonville, FL), River Region Psychiatry Associates LLC (Montgomery, AL), Grow Healthcare Group PA (Miami, FL) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacey Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Shaw accept?

Health plans from Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc, Harvard Pilgrim Health Care and UnitedHealthcare list Stacey Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacey Shaw was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.