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Deactivated NPI 1265297097 Deactivated / Inactive NPI Male Practitioner

Shaun Christian Java

Nurse Practitioner - Family • Phoenix, AZ

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Shaun Java has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2024
NPI Deactivation Date April 26, 2024
Total Practice Duration ~1 Years of Practice (2024 – 2024)

Professional Overview & Biography Verified Profile Summary

Shaun Java was a registered Nurse Practitioner - Family practicing in Phoenix, AZ. Throughout an active medical career spanning 1 years, Shaun Java provided care at the practice location at 19829 N 27TH AVE until profile deactivation on 2024-04-26.

Shaun Java maintained professional affiliations with Ch Specialty Services Az Llc, Curana Health Of Arizona and accepted Medicare assignment.

Historical Medicare Part B clinical services included residence visit for established patient with moderate level of medical decision making, per day, if using time, at least, residence visit for new patient with high level of medical decision making, per day, if using time, at least. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

19829 N 27th Ave

Phoenix, AZ 850274001

Telephone 6238796100
Associated Practice Facility / Clinic
🏢 Anatomic Pathology Associates Facility NPI 1427090943

Medicare Profile & Education

Medical School

Other

Graduation Year

2024

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Family in Phoenix, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
2 Yrs -6.4 yrs vs City Avg
City Avg: 8.4 Yrs
State Avg: 9.0 Yrs
Regional Practice Density
1264 Specialists

Practicing in Phoenix, AZ (6026 Statewide)

Telehealth Adoption Rate
16.9% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Java (2 Years) 2 Yrs
Phoenix Specialty Average (8.4 Years) 8.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
23 18 $202.00 $104.04
99345 Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes
11 11 $337.00 $165.01

Medical Specialties & State Licenses

CMS Verified: 2024-06-07
Nurse Practitioner - Family Primary Specialty

NUCC Taxonomy Code: 363LF0000X

State License AZ 306567

Definition to come...

Registered Nurse

NUCC Taxonomy Code: 163W00000X

State License AZ RN174293

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Hospital & Practice Group Affiliations

Ch Specialty Services Az Llc

13755 N Litchfield Rd, Surprise, AZ 853794288

Phone: 3379919276

Curana Health Of Arizona

13755 N Litchfield Rd, Surprise, AZ 853794288

Phone: 3379919276

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

33 Associated Practitioners
NPI 1033799846

Doctor of Medicine (M.D.)

Irish Cabrera , FNP-C

Nurse Practitioner

NPI 1043966690

Family Nurse Practitioner (Certified)

Dr. Eshaan Daas , MD

Emergency Medicine

NPI 1053991281

Doctor of Medicine (M.D.)

Dr. Lance Eberson , MD

Radiology - Diagnostic Radiology

NPI 1083110688

Doctor of Medicine (M.D.)

NPI 1093210486

Doctor of Medicine (M.D.)

Dawn Nichols , RN

Nurse Anesthetist, Certified Registered

NPI 1093294878

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location June 07, 2024

Registered at 19829 N 27TH AVE, PHOENIX, AZ 850274001 (Tel: 6238796100)

📍
Updated Business Mailing Address June 07, 2024

Registered at 12124 W COTTONTAIL LN, PEORIA, AZ 853835829 (Tel: 6022994548)

👤
Provider Name / Credentials Updated June 07, 2024

Recorded as SHAUN JAVA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2024

Registered Nurse (License #RN174293 in AZ)

⚠️
NPI Profile Deactivated April 26, 2024

Record deactivated on April 26, 2024

NPI Profile Active February 20, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 20, 2024

Registered at 19829 N 27TH AVE, PHOENIX, AZ 850274001 (Tel: 6238796100)

📍
Updated Business Mailing Address February 20, 2024

Registered at 12124 W COTTONTAIL LN, PEORIA, AZ 853835829 (Tel: 6022994548)

👤
Provider Name / Credentials Updated February 20, 2024

Recorded as SHAUN JAVA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2024

Registered Nurse (License #RN174293 in AZ)

🟢
Initial NPI Registration & Enumeration February 20, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265297097
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2024
Last Update: June 07, 2024
Deactivation Date: April 26, 2024
Sole Proprietor: No

Mailing Address

12124 W Cottontail Ln

Peoria, AZ 853835829

Phone: 6022994548

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.