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MR. WILLIAM SHANE MCCLANAHAN PA-C
NPI 1962493932
Physician Assistant - Medical in Orange Park, FL

Active since October 31, 2005PECOS EnrolledAccepts Medicare Assignment
1409 KINGSLEY AVE STE 14A, ORANGE PARK, FL 32073(904) 213-3555(904) 272-1222 Get Directions Write a Review

NPPES record last updated: October 17, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. William Shane Mcclanahan Pa-c NPPES

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

MR. WILLIAM SHANE MCCLANAHAN PA-C (NPI 1962493932) is an individual medical provider in Orange Park, Florida, licensed in Florida (PA2114) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Florida College Of Medicine (1983).

NPPES Registry Identity

NPI1962493932
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. WILLIAM SHANE MCCLANAHANCredential: PA-C
Location Address1409 KINGSLEY AVE STE 14AOrange Park, FL 32073-4541
Mailing Address1409 Kingsley Ave Ste 14aOrange Park, FL 32073-4541 · (904) 213-3555 · Fax (904) 272-1222
Phone(904) 213-3555
Fax(904) 272-1222
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1983
Enumeration DateOctober 31, 2005
Last NPPES UpdateOctober 17, 2008
✔ NPI 1962493932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in FL · PA2114
1409 KINGSLEY AVE STE 14A, Orange Park, FL 32073
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Other Identifiers 3

Medicare UPINP30066FL
Medicaid291267800FL
Medicare PINE5420

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

Mr. William Shane Mcclanahan Pa-c 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 ID5890714968
PECOS Enrollment IDI20051117000544
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 3

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.
263 services98 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.
30 services30 patients
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.
25 services20 patients

Referred Medical Equipment & Supplies CMS DME claims 5

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

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181
DME-Other DME · category DE000N
1 supplier16 claims16 services$11.37 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier30 claims30 services$32.93 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier20 claims20 services$1.89 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.29 avg. paid by Medicare
Power wheelchair, group 2 heavy duty, captains chair, patient weight capacity 301 to 450 pounds K0825
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$127.29 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 William Mcclanahan's NPI number?

The NPI number for William Mcclanahan is 1962493932. It was assigned to this individual provider in the NPPES registry on October 31, 2005.

Where is William Mcclanahan located?

William Mcclanahan practices at 1409 Kingsley Ave Ste 14A, Orange Park, FL 32073. The listed phone number is (904) 213-3555.

What is William Mcclanahan's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is William Mcclanahan enrolled in Medicare?

Yes. William Mcclanahan 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.

When was this NPI record last updated?

The NPPES record for William Mcclanahan was last updated on October 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.