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

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: August 02, 2026.

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, and ordering and referring status from the CMS PECOS system.

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.

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.

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.