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SHAYLEE RENNER DO
NPI 1205623980
Student in an Organized Health Care Education/Training Program in Payson, AZ

Active since April 24, 2025PECOS Enrolled
117 E MAIN ST STE A100, PAYSON, AZ 85541(928) 596-4500 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaylee Renner Do NPPES

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

SHAYLEE RENNER DO (NPI 1205623980) is an individual student in an organized health care education/training program in Payson, Arizona and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205623980
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSHAYLEE RENNERCredential: DO
Location Address117 E MAIN ST STE A100Payson, AZ 85541-4606
Mailing Address117 E Main St Ste A100Payson, AZ 85541-4606
Phone(928) 596-4500
Sole ProprietorNo
Enumeration DateApril 24, 2025
Last NPPES UpdateApril 25, 2025
NPPES CertifiedApril 25, 2025
✔ NPI 1205623980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
117 E MAIN ST STE A100, Payson, AZ 85541
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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)

Shaylee Renner Do 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.

Other Providers at the Same Location NPPES 8

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

CHIP DUPRE
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
BANNER HEALTH
Clinic/Center (Rural Health)
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
ADAM KEMP CRANDELL DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
JAEGAR DEAN WHITE MD
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
CORINNE MARYSSA SPIRES
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
DR. GABRIEL HECTOR LOPEZ MD
Student in an Organized Health Care Education/Training Program
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500
DR. MATTHEW BALLS DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (289) 596-4500
DR. NICHOLAS CONNOR GALVIN DO
Family Medicine
117 E MAIN ST STE A100
PAYSON, AZ 85541
Gila County (928) 596-4500

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 Shaylee Renner's NPI number?

The NPI number for Shaylee Renner is 1205623980. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Shaylee Renner located?

Shaylee Renner practices at 117 E Main St Ste A100, Payson, AZ 85541. The listed phone number is (928) 596-4500.

What is Shaylee Renner's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Shaylee Renner enrolled in Medicare?

Yes. Shaylee Renner is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shaylee Renner was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.