MR. RYAN E SHAW APRN
NPI 1760002448
Nurse Practitioner - Family in Ormond Beach, FL

Q: What is Ryan Shaw's NPI number?

The NPI number for Ryan Shaw is 1760002448. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Q: What is Ryan Shaw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Shaw was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 22, 2020PECOS Enrolled

725 W. GRANADA BLVD, STE 22, ORMOND BEACH, FL 32174(386) 788-2300(386) 944-6622 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Mr. Ryan E Shaw Aprn NPPES

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

MR. RYAN E SHAW APRN (NPI 1760002448) is an individual family provider in Ormond Beach, Florida, licensed in Florida (APRN11006557) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760002448

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. RYAN E SHAWCredential: APRN

Location Address725 W. GRANADA BLVD, STE 22Ormond Beach, FL 32174-5107

Mailing Address725 W. Granada Blvd, Ste 22Ormond Beach, FL 32174-5107 · (386) 788-2300 · Fax (386) 944-6622

Phone(386) 788-2300

Fax(386) 944-6622

Sole ProprietorNo

Enumeration DateApril 22, 2020

NPPES CertifiedApril 22, 2020

✔ NPI 1760002448 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 FL · APRN11006557

725 W. GRANADA BLVD, Ormond Beach, FL 32174

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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)

Mr. Ryan E Shaw Aprn 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.

Medicare Billing Reassignment

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

Coastal Neurology, Inc.

Same address

Neurology

725 W GRANADA BLVD, SUITE 22
Ormond Beach, FL 32174

Reassigned Medicare billing, Florida enrollment
16 clinicians in this Medicare group

NPI 1457358434 (386) 788-2300

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 32174 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 Ryan Shaw's NPI number?

The NPI number for Ryan Shaw is 1760002448. It was assigned to this individual provider in the NPPES registry on April 22, 2020.

Where is Ryan Shaw located?

Ryan Shaw practices at 725 W. Granada Blvd Ste 22, Ormond Beach, FL 32174. The listed phone number is (386) 788-2300.

What is Ryan Shaw's specialty?

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

Is Ryan Shaw enrolled in Medicare?

Yes. Ryan Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ryan Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Shaw reassigns Medicare benefits to Coastal Neurology, Inc. (Ormond 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 Ryan Shaw'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 Ryan Shaw was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.