Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIRNA SHABAN AGACNP
NPI 1639087059
Nurse Practitioner - Acute Care in Charlottesville, VA

Active since August 28, 2026PECOS Enrolled
1221 LEE ST, CHARLOTTESVILLE, VA 22903(434) 243-1000 Get Directions Write a Review

NPPES record added: October 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 14, 2026, Aug 28, 2026 (2 updates tracked since 2026).

About Mirna Shaban Agacnp NPPES

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

MIRNA SHABAN AGACNP (NPI 1639087059) is an individual acute care provider in Charlottesville, Virginia, licensed in Virginia (0001300857) and active in the NPI registry since August 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1639087059
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameMIRNA SHABANCredential: AGACNP
Location Address1221 LEE STCharlottesville, VA 22903
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Enumeration DateAugust 28, 2026
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1639087059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in VA · 0001300857
1221 LEE ST, Charlottesville, VA 22903

Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-9333 · Fax (434) 924-1931

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirna Shaban Agacnp 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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 5

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

Nurse Practitioner (Family)
1221 LEE ST
CHARLOTTESVILLE, VA 22903
Psychiatry & Neurology (Neurology)
1221 LEE ST
CHARLOTTESVILLE, VA 22903
Neurological Surgery
1221 LEE ST
CHARLOTTESVILLE, VA 22903
Student in an Organized Health Care Education/Training Program
1221 LEE ST
CHARLOTTESVILLE, VA 22903
Neurological Surgery
1221 LEE ST
CHARLOTTESVILLE, VA 22903

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 Mirna Shaban's NPI number?

The NPI number for Mirna Shaban is 1639087059. It was assigned to this individual provider in the NPPES registry on August 28, 2026.

Where is Mirna Shaban located?

Mirna Shaban practices at 1221 Lee St, Charlottesville, VA 22903. The listed phone number is (434) 243-1000.

What is Mirna Shaban's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Mirna Shaban enrolled in Medicare?

Yes. Mirna Shaban is registered in the Medicare PECOS enrollment system.

What insurance does Mirna Shaban accept?

Health plans from Oscar Health list Mirna Shaban 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 Mirna Shaban was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.