DR. SHAWN MICHAEL MCCRUM
NPI 1215010400
Family Medicine in Phoenix, AZ
About Dr. Shawn Michael Mccrum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHAWN MICHAEL MCCRUM (NPI 1215010400) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (4260) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Shawn Michael Mccrum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Shawn Mccrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chandler, AZ 85224
- Reassigned Medicare billing, Arizona enrollment
- 25 clinicians in this Medicare group
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 85048 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85048
PHOENIX, AZ 85048
PHOENIX, AZ 85048
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 Shawn Mccrum's NPI number?
The NPI number for Shawn Mccrum is 1215010400. It was assigned to this individual provider in the NPPES registry on October 23, 2006.
Where is Shawn Mccrum located?
Shawn Mccrum practices at 4545 E Chandler Blvd, Phoenix, AZ 85048. The listed phone number is (480) 728-4075.
What is Shawn Mccrum's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shawn Mccrum enrolled in Medicare?
Yes. Shawn Mccrum is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Shawn Mccrum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shawn Mccrum reassigns Medicare benefits to Dignity Community Care (Chandler, AZ). The 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 Shawn Mccrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Shawn Mccrum was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Shawn Michael Mccrum · NPI 1215010400
Family Medicine physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 23, 2006.
## Identity
- **NPI:** 1215010400 (Entity type: Individual)
- **Enumerated:** October 23, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4260 (Arizona)
- **Sole proprietor:** No
## Practice location
- **Address:** 4545 E CHANDLER BLVD, Phoenix, AZ 85048-7643
- **Phone:** (480) 728-4075
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Dignity Community Care (NPI 1700910189, Chandler, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 12, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1215010400) · Data from the CMS NPPES public registry.