Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shawn Robert O'Haver, AG-ACNP

Individual provider Primary Care Nurse Practitioner · NPI 1922450493

Shawn Robert O'Haver, AG-ACNP is a Nurse Practitioner in Lake Havasu City, Arizona. Qualified in 2016, 10 years ago. Practices with Lakeside Orthopedic Institute LLC, a 13-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
10
Licensed in
AZ
In the registry since
2016

Practice location Address checks out

84 Acoma Blvd N Ste 106
Lake Havasu City, AZ 86403-6096
Phone: (928) 412-8808
Fax: (928) 412-8807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence AP11115 (AZ)

Record details

NPI number1922450493
Entity typeIndividual (Type 1)
GenderMale
Credentials AG-ACNP
Sole proprietorYes
NPI enumeratedJuly 8, 2016
Last updated in NPPESNovember 11, 2021
Certification dateNovember 11, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Lakeside Orthopedic Institute Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Lake Havasu City