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DR. SHAUN STANLEY M.D.
NPI 1619311834
Psychiatry & Neurology - Psychiatry in Ione, CA

Active since April 18, 2013PECOS EnrolledAccepts Medicare Assignment
MCSP, 4001 CA-104, IONE, CA 95640(304) 881-3770 Get Directions Write a Review

NPPES record last updated: February 20, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Feb 20, 2023, Dec 12, 2019, Sep 19, 2017 (3 updates tracked since 2017).

About Dr. Shaun Stanley M.d. NPPES

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

DR. SHAUN STANLEY M.D. (NPI 1619311834) is an individual psychiatry provider in Ione, California, licensed in California (C182943) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Jc Edwards School Of Medicine, Marshall University (2013).

NPPES Registry Identity

NPI1619311834
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. SHAUN STANLEYCredential: M.D.
Location AddressMCSP, 4001 CA-104Ione, CA 95640
Mailing AddressSphs Care Center, 75 E Maiden St #100Washington, PA 15301 · (724) 228-2200
Phone(304) 881-3770
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2013
Enumeration DateApril 18, 2013
Last NPPES UpdateFebruary 20, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 15, 2023
✔ NPI 1619311834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in CA · C182943✔ Licensed in WV · 26552✔ Licensed in PA · MD461055
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
MCSP, Ione, CA 95640
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Secondary Practice Location 1

Location 1SPHS Care Center, 75 E Maiden St #100Washington, PA 15301 · Phone (724) 228-2200

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shaun Stanley M.d. 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 ID6305149782
PECOS Enrollment IDI20190830001624
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shaun Stanley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

The Care Center
2,166 mi
Rehabilitation, Substance Use Disorder
75 E MAIDEN ST STE 100
Washington, PA 15301
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 6 clinicians in this Medicare group
NPI 1528103488 (724) 228-2200
Squirrel Hill Health Center
2,179 mi
Federally Qualified Health Center (FQHC)
4516 BROWNS HILL RD
Pittsburgh, PA 15217
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group
NPI 1982658308 (412) 422-7442

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 95640 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
$176.60 typical visit price
range $58.87 – $176.60
Typical copayment $44.15 (range $14.71 – $44.15)
Most-billed visit code 99205
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Stanley's NPI number?

The NPI number for Shaun Stanley is 1619311834. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Shaun Stanley located?

Shaun Stanley practices at Mcsp 4001 Ca-104, Ione, CA 95640. The listed phone number is (304) 881-3770.

What is Shaun Stanley's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Shaun Stanley enrolled in Medicare?

Yes. Shaun Stanley 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.

Which organizations bill Medicare for Shaun Stanley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shaun Stanley reassigns Medicare benefits to 2 organizations: The Care Center (Washington, PA) and Squirrel Hill Health Center (Pittsburgh, PA). Each 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 Shaun Stanley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shaun Stanley accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Shaun Stanley 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 Stanley was last updated on February 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.