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RACHAEL MORROW SHAD APRN
NPI 1639966245
Nurse Practitioner in Jacksonville, FL

Active since April 24, 2025PECOS Enrolled
1632 EDGEWOOD AVE S, JACKSONVILLE, FL 32205(904) 476-8320 Get Directions Write a Review

NPPES record last updated: April 24, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rachael Morrow Shad Aprn NPPES

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

RACHAEL MORROW SHAD APRN (NPI 1639966245) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (11038289) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1639966245
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameRACHAEL MORROW SHADCredential: APRN
Location Address1632 EDGEWOOD AVE SJacksonville, FL 32205-8410
Mailing Address1632 Edgewood Ave SJacksonville, FL 32205-8410 · (904) 476-8320
Phone(904) 476-8320
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 24, 2025
NPPES CertifiedApril 24, 2025
✔ NPI 1639966245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in FL · 11038289
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1632 EDGEWOOD AVE S, Jacksonville, FL 32205
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rachael Morrow Shad Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335666973
PECOS Enrollment IDI20250507002892
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 Reassignment

Medicare enrollment records show Rachael Shad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care Solutions Jacksonville LLC
19 mi
Family Medicine
42 DAVIN CT
Ponte Vedra Beach, FL 32082
  • Reassigned Medicare billing, Florida enrollment
  • 21 clinicians in this Medicare group
NPI 1407555154 (904) 490-0264

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 32205 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.

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 Rachael Shad's NPI number?

The NPI number for Rachael Shad is 1639966245. It was assigned to this individual provider in the NPPES registry on April 24, 2025.

Where is Rachael Shad located?

Rachael Shad practices at 1632 Edgewood Ave S, Jacksonville, FL 32205. The listed phone number is (904) 476-8320.

What is Rachael Shad's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Rachael Shad enrolled in Medicare?

Yes. Rachael Shad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Rachael Shad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Shad reassigns Medicare benefits to Primary Care Solutions Jacksonville LLC (Ponte Vedra Beach, FL). 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 Rachael Shad'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 Rachael Shad was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.