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SHANE TYLER BOYD CRNP
NPI 1619619996
Nurse Practitioner - Family in Ellwood City, PA

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
510 JAMISON AVE, ELLWOOD CITY, PA 16117(724) 716-6742 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane Tyler Boyd Crnp NPPES

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

SHANE TYLER BOYD CRNP (NPI 1619619996) is an individual family provider in Ellwood City, Pennsylvania, licensed in Pennsylvania (SP025525) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619619996
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHANE TYLER BOYDCredential: CRNP
Location Address510 JAMISON AVEEllwood City, PA 16117-2590
Mailing AddressPo Box 640026Pittsburgh, PA 15264-0026 · (724) 890-5292 · Fax (877) 673-3685
Phone(724) 716-6742
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2022
Last NPPES UpdateOctober 23, 2025
NPPES CertifiedOctober 23, 2025
✔ NPI 1619619996 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 PA · SP025525
510 JAMISON AVE, Ellwood City, PA 16117
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Perry Hwy Unit 103Harmony, PA 16037-9200 · Phone (724) 890-5292 · Fax (877) 673-3685
Location 23211 4th AveBeaver Falls, PA 15010-3501 · Phone (724) 890-5292 · Fax (877) 673-3685

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

Shane Tyler Boyd Crnp 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 ID4789111659
PECOS Enrollment IDI20241217003091
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.

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16117 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Other Providers at the Same Location NPPES 2

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

APPLE OCCUPATIONAL MEDICAL SERVICES, LLC
Family Medicine
510 JAMISON AVE
ELLWOOD CITY, PA 16117
Lawrence County (724) 752-6837
RICHARD WAYNE MONDAK MPAS PA-C
Physician Assistant (Medical)
510 JAMISON AVE
ELLWOOD CITY, PA 16117
Lawrence County (724) 716-6742

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 Shane Boyd's NPI number?

The NPI number for Shane Boyd is 1619619996. It was assigned to this individual provider in the NPPES registry on April 8, 2022.

Where is Shane Boyd located?

Shane Boyd practices at 510 Jamison Ave, Ellwood City, PA 16117. The listed phone number is (724) 716-6742.

What is Shane Boyd's specialty?

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

Is Shane Boyd enrolled in Medicare?

Yes. Shane Boyd 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 Shane Boyd affiliated with any hospitals?

According to CMS data, Shane Boyd is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Shane Boyd was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.