Doctor profile · Federal record
Dr. Stacey Shaw, ARNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Port Orange, FL
- NPI 1366922882
- Accepts Medicare
- MIPS 88.5 / 100 · 2023
- 8 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
1690 Dunlawton Ave Ste 230
Port Orange, FL 321278980
(386) 271-2273 - Mailing address
-
1690 Dunlawton Ave
Port Orange, FL 321278979
Credentials & registration
- NPI registered
- August 2018 — 8 yrs on file
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Florida #2878322
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1366922882. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
145
Distinct HCPCS
2
Medicare allowed
$16,475
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 110 | 84 | $105 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $140 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 76. This provider delivers 1.9× the peer median.Open Payments
Industry payments received
All-time total
$291
Transactions
4
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $121.85 | |
| Janssen Pharmaceuticals, Inc | 1 | $121.84 | |
| Lilly USA, LLC | 1 | $26.08 | |
| ABBVIE INC. | 1 | $21.54 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
254
Patients
133
Total drug cost
$11,458
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 76 | 31 | $1,160 |
| Pantoprazole Sodium | Generic | 47 | 17 | $572 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 40 | 39 | $668 |
| Peg-3350 And Electrolytes (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 21 | 20 | $476 |
| Sucralfate | Generic | 20 | 11 | $6,043 |
| Plenvu (Peg3350/Sod Sul/Nacl/Kcl/Asb/C) | Brand | 15 | 15 | $2,169 |
| Dicyclomine Hcl | Generic | 12 | 0 | $102 |
| Ondansetron Hcl | Generic | 12 | 0 | $108 |
| Famotidine | Generic | 11 | 0 | $161 |
Frequently asked questions
What is Dr. Stacey Shaw's medical specialty?
Dr. Stacey Shaw practices Family Nurse Practitioner in Port Orange, FL.
Where does Dr. Stacey Shaw practice?
Dr. Stacey Shaw practices at 1690 Dunlawton Ave Ste 230, Port Orange, FL 321278980. Office phone: 3862712273.
What is Dr. Stacey Shaw's NPI?
Dr. Stacey Shaw's National Provider Identifier (NPI) is 1366922882, issued by NPPES.
Does Dr. Stacey Shaw accept Medicare assignment?
Yes. Dr. Stacey Shaw accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Stacey Shaw commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); New patient office or other outpatient visit (HCPCS 99204). Source: CMS Medicare Physician & Other Practitioners file.