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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 Enrolled
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: July 26, 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.

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
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 Molina Healthcare, Providence Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Stacey Lynn Shaw Aprn 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 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 2

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

RENEE ELLEN WALTER APN
Nurse Practitioner (Psychiatric/Mental Health)
607 BRIARWOOD DR STE 6
MYRTLE BEACH, SC 29572
Horry County (854) 237-5167
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 enrollment system.

What insurance does Stacey Shaw accept?

Health plans from Molina Healthcare, Providence Health Plan 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 with the weekly NPPES data releases published by CMS.