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STACEY L SHAW ARNP
NPI 1366922882
Nurse Practitioner - Family in Port Orange, FL

Active since August 14, 2018PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
1690 DUNLAWTON AVE STE 230, PORT ORANGE, FL 32127(386) 271-2273 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stacey L Shaw Arnp NPPES

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

STACEY L SHAW ARNP (NPI 1366922882) is an individual family provider in Port Orange, Florida, licensed in Florida (2878322) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1366922882
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTACEY L SHAWCredential: ARNP
Location Address1690 DUNLAWTON AVE STE 230Port Orange, FL 32127-8980
Mailing Address1690 Dunlawton AvePort Orange, FL 32127-8979 · (386) 717-8323
Phone(386) 271-2273
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 14, 2018
✔ NPI 1366922882 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 FL · 2878322
1690 DUNLAWTON AVE STE 230, Port Orange, FL 32127
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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 and accepts Medicare assignment

Stacey L Shaw Arnp 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 ID5799119848
PECOS Enrollment IDI20191223001449
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32127 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

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 1366922882. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Stacey Shaw located?

Stacey Shaw practices at 1690 Dunlawton Ave Ste 230, Port Orange, FL 32127. The listed phone number is (386) 271-2273.

What is Stacey Shaw's specialty?

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

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.

Is Stacey Shaw affiliated with any hospitals?

According to CMS data, Stacey Shaw is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Stacey Shaw was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.