SHAYNA DOUGLAS FNP
NPI 1972274298
Nurse Practitioner - Family in Buffalo, NY

Q: What is Shayna Douglas's NPI number?

The NPI number for Shayna Douglas is 1972274298. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Q: What is Shayna Douglas'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 Shayna Douglas was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 27, 2021PECOS EnrolledAccepts Medicare Assignment

2157 MAIN ST, BUFFALO, NY 14214(716) 862-1984 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Shayna Douglas Fnp NPPES

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

SHAYNA DOUGLAS FNP (NPI 1972274298) is an individual family provider in Buffalo, New York, licensed in New York (346706) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972274298

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHAYNA DOUGLASCredential: FNP

Location Address2157 MAIN STBuffalo, NY 14214-2648

Mailing Address2157 Main St Fl 1Buffalo, NY 14214-2648

Phone(716) 862-1984

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 27, 2021

NPPES CertifiedSeptember 24, 2021

✔ NPI 1972274298 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 NY · 346706

2157 MAIN ST, Buffalo, NY 14214

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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 and accepts Medicare assignment

Shayna Douglas 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 ID5698164796

PECOS Enrollment IDI20211111000345

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 14214 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Other Providers at the Same Location NPPES 20

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

DAVID MAY P.T.

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