HANNA RAE SHAW
NPI 1720608748
Physician Assistant in Fort Myers, FL

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment
12700 CREEKSIDE LN STE 301, FORT MYERS, FL 33919(239) 343-3780(239) 343-3781 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2024, Nov 11, 2021, Sep 23, 2021 and 1 more (4 updates tracked since 2020).

About Hanna Rae Shaw NPPES

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

HANNA RAE SHAW (NPI 1720608748) is an individual physician assistant in Fort Myers, Florida, licensed in Florida (PA9114423) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1720608748
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHANNA RAE SHAW
Location Address12700 CREEKSIDE LN STE 301Fort Myers, FL 33919-3356
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 343-9960 · Fax (239) 424-4006
Fax(239) 343-3781
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 20, 2020
Last NPPES UpdateJuly 2, 20244 updates tracked since enumeration
NPPES CertifiedJuly 2, 2024
NPI 1720608748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in FL · PA9114423
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

12700 CREEKSIDE LN STE 301, Fort Myers, FL 33919

Secondary Practice Locations 2

Location 118 Charles StManchester, ME 04351-0435 · Phone (207) 557-3113
Location 2708 Del Prado Blvd S Ste 3Cape Coral, FL 33990-2676 · Phone (239) 343-9960 · Fax (239) 424-4006

Other Identifiers 1

Medicaid111306100FL

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

Hanna Rae Shaw 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 ID1456756188
PECOS Enrollment IDI20210818003651
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

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services29 patients

Hospital Affiliations CMS Care Compare 2

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33919 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
$91.69 typical visit price
range $58.56 – $179.05
Typical copayment $22.92 (range $14.64 – $44.76)
Most-billed visit code 99203
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Surgical)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
General Practice
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919
Surgery (Vascular Surgery)
12700 CREEKSIDE LN STE 301
FORT MYERS, FL 33919

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 Hanna Shaw's NPI number?

The NPI number for Hanna Shaw is 1720608748. It was assigned to this individual provider in the NPPES registry on April 20, 2020.

Where is Hanna Shaw located?

Hanna Shaw practices at 12700 Creekside Ln Ste 301, Fort Myers, FL 33919. The listed phone number is (239) 343-3780.

What is Hanna Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Hanna Shaw enrolled in Medicare?

Yes. Hanna Shaw 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 Hanna Shaw accept?

Health plans from AvMed and Wellpoint list Hanna Shaw 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 Hanna Shaw affiliated with any hospitals?

According to CMS data, Hanna Shaw is affiliated with Lee Memorial Hospital and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Hanna Shaw was last updated on July 2, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.