DR. SHAUN INGRAM
NPI 1093377194
Nurse Practitioner - Family in Memphis, TN

Active since June 28, 2019PECOS EnrolledAccepts Medicare Assignment
4250 FARONIA RD STE 4, MEMPHIS, TN 38116(901) 348-9600 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Shaun Ingram NPPES

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

DR. SHAUN INGRAM (NPI 1093377194) is an individual family provider in Memphis, Tennessee, licensed in Tennessee (25901) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1093377194
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDR. SHAUN INGRAM
Location Address4250 FARONIA RD STE 4Memphis, TN 38116-6527
Mailing Address4250 Faronia Rd Ste 4Memphis, TN 38116-6527 · (901) 348-9600
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 28, 2019
Last NPPES UpdateAugust 9, 2019
NPI 1093377194 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 25901
4250 FARONIA RD STE 4, Memphis, TN 38116

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaun Ingram 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 ID648604223
PECOS Enrollment IDI20230601002786
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 38116 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers21 claims61 services$5.72 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

Preferred Provider Organization
4250 FARONIA RD STE 4
MEMPHIS, TN 38116

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 Shaun Ingram's NPI number?

The NPI number for Shaun Ingram is 1093377194. It was assigned to this individual provider in the NPPES registry on June 28, 2019.

Where is Shaun Ingram located?

Shaun Ingram practices at 4250 Faronia Rd Ste 4, Memphis, TN 38116. The listed phone number is (901) 348-9600.

What is Shaun Ingram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Shaun Ingram enrolled in Medicare?

Yes. Shaun Ingram 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.

What insurance does Shaun Ingram accept?

Health plans from Blue Cross and Blue Shield of Texas list Shaun Ingram 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 Shaun Ingram was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years 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.