SHANE M MCVAY FNP
NPI 1700222379
Nurse Practitioner - Family in Hodge, LA

Active since May 22, 2013PECOS EnrolledAccepts Medicare Assignment
78.33/100
CMS Quality Rating
4707 QUITMAN HIGHWAY, HODGE, LA 71247(318) 395-1168(318) 395-1170 Get Directions Write a Review

NPPES record last updated: November 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shane M Mcvay Fnp NPPES

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

SHANE M MCVAY FNP (NPI 1700222379) is an individual family provider in Hodge, Louisiana, licensed in Louisiana (TAP003048) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Northern Louisiana Medical Center, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1700222379
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSHANE M MCVAYCredential: FNP
Location Address4707 QUITMAN HIGHWAYHodge, LA 71247
Mailing Address1200 S Farmerville StRuston, LA 71270-5941 · (318) 255-3690
Fax(318) 395-1170
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 22, 2013
Last NPPES UpdateNovember 22, 2013
NPI 1700222379 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 LA · TAP003048
4707 QUITMAN HIGHWAY, Hodge, LA 71247

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 and accepts Medicare assignment

Shane M Mcvay Fnp 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 ID5991946733
PECOS Enrollment IDI20130722000064
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 16

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
652 services239 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
295 services166 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
232 services139 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
202 services81 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
169 services61 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
151 services151 patients

Hospital Affiliations CMS Care Compare 2

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

Northern Louisiana Medical Center

Acute Care Hospitals · Ruston, LA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number190086
Location401 East Vaughn AvenueRuston, LA 71270 · Lincoln County
Emergency services Birthing friendly

Jackson Parish Hospital

Critical Access Hospitals · Jonesboro, LA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number191317
Location165 Beech Springs RoadJonesboro, LA 71251 · Jackson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71247 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

78.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality54.65
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 18

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers56 claims120 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers23 claims32 services$1.10 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers17 claims17 services$100.99 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
2 suppliers11 claims11 services$19.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
2 suppliers14 claims14 services$17.71 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims19 services$3.03 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Mcvay's NPI number?

The NPI number for Shane Mcvay is 1700222379. It was assigned to this individual provider in the NPPES registry on May 22, 2013.

Where is Shane Mcvay located?

Shane Mcvay practices at 4707 Quitman Highway, Hodge, LA 71247. The listed phone number is (318) 395-1168.

What is Shane Mcvay's specialty?

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

Is Shane Mcvay enrolled in Medicare?

Yes. Shane Mcvay 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.

What insurance does Shane Mcvay accept?

Health plans from Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Shane Mcvay 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.

Is Shane Mcvay affiliated with any hospitals?

According to CMS data, Shane Mcvay is affiliated with Northern Louisiana Medical Center and Jackson Parish Hospital.

When was this NPI record last updated?

The NPPES record for Shane Mcvay was last updated on November 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.