Individual provider Active NPI

Shane Tyler Boyd, CRNP

  • Family Nurse Practitioner
  • Ellwood City, PA
National Provider Identifier
1619619996
Registry record updated Oct 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP025525 Issued in PA
Practice address
510 Jamison Ave
Ellwood City, PA 16117-2590
Phone
(724) 716-6742
NPI assigned
Apr 8, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP025525 PA Primary

Addresses

Primary practice location

510 Jamison Ave
Ellwood City, PA 16117-2590

Mailing address

PO Box 640026
Pittsburgh, PA 15264-0026
Phone (724) 890-5292

Other practice location 1

100 Perry Hwy Unit 103
Harmony, PA 16037-9200
Phone (724) 890-5292

Other practice location 2

3211 4th Ave
Beaver Falls, PA 15010-3501
Phone (724) 890-5292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217003091 PA Practitioner - Nurse Practitioner 4789111659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Co-Hill Urgent Care and Wellness Center LLCGroup PAC ID 9537608641, 2 clinicians
BHS Faster Care PLLCGroup PAC ID 4880719038, 23 clinicians

Practice addresses (Care Compare)

100 Perry Hwy
Unit 103
Harmony, PA 16037-9200
Phone (724) 890-5292

250 B Butler CMNS
Butler, PA 16001-2485
Phone (877) 987-4368

Hospital & facility affiliations

  • Independence Health System Butler Memorial Hospita Hospital, Butler, PA, CCN 390168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Co-Hill Urgent Care & Wellness Center LLC CurrentSince Sep 23, 2025 Accepting new patients
Olympic Urogynecology, LLC Current Accepting new patients
BHS Faster Care PLLC CurrentSince Mar 30, 2026 Accepting new patients
Co-Hill Urgent Care & Wellness Center LLC CurrentSince Sep 23, 2025 Accepting new patients
Butler Medical Providers PastSince Mar 30, 2026 Accepting new patients

Locations

3211 4th Ave
Beaver Falls, PA 15010
Phone (724) 846-1784

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

100 Perry Hwy
Unit 103
Harmony, PA 16037
Phone (724) 473-4575

21 Franklin Village Mall
Kittanning, PA 16201
Phone (724) 543-3278

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HDEGDD/Endpoint/HDEGDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1649376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761177600000",
    "number": "1619619996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640026",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152640026",
            "telephone_number": "724-890-5292",
            "fax_number": "877-673-3685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 JAMISON AVE",
            "city": "ELLWOOD CITY",
            "state": "PA",
            "postal_code": "161172590",
            "telephone_number": "724-716-6742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Perry Hwy Unit 103",
            "address_purpose": "LOCATION",
            "city": "Harmony",
            "state": "PA",
            "postal_code": "160379200",
            "country_code": "US",
            "telephone_number": "724-890-5292",
            "fax_number": "877-673-3685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3211 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaver Falls",
            "state": "PA",
            "postal_code": "150103501",
            "country_code": "US",
            "telephone_number": "724-890-5292",
            "fax_number": "877-673-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOYD",
        "first_name": "SHANE",
        "middle_name": "TYLER",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-08",
        "last_updated": "2025-10-23",
        "certification_date": "2025-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellwood City, PA

Sources for this page

Verify at the official NPI Registry.