Carmencita E Shaw, DNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

APRN9432845 Issued in FL

Practice address

947 Barefoot Blvd
Barefoot Bay, FL 32976-7101

Phone

(321) 593-6999

Fax

(321) 327-2262

NPI assigned

Nov 16, 2015

Last updated

Jan 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Nurse Practitioner

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shaw Medical Group LLCGroup PAC ID 7719262773, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mederi Caretenders Home health agency, Palm Bay, FL, CCN 108030
• Orlando Health Sebastian River Hospital Hospital, Sebastian, FL, CCN 100217
• Palm Bay Hospital Hospital, Palm Bay, FL, CCN 100316

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

• Shaw Medical Group LLC

  dba MyHealth by Shaw Medical Group

  • Family Medicine Physician
  • Barefoot Bay, FL
  • NPI 1255884938
  Medicare reassignment Care Compare group Authorized official

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

• Caretenders Visiting Services of District 7, LLC

  dba Mederi Caretenders

  • Home Health Agency
  • Palm Bay, FL
  • NPI 1730285628
  Care Compare affiliation
• Holmes Regional Medical Center, Inc

  dba Palm Bay Hospital

  • General Acute Care Hospital
  • Palm Bay, FL
  • NPI 1386940823
  Care Compare affiliation
• Ohsrh, LLC

  dba Orlando Health Sebastian River Hospital

  • General Acute Care Hospital
  • Sebastian, FL
  • NPI 1578381307
  Care Compare affiliation

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1225402118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "947 BAREFOOT BLVD",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767101",
            "telephone_number": "321-593-6999",
            "fax_number": "321-327-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "947 BAREFOOT BLVD",
            "city": "BAREFOOT BAY",
            "state": "FL",
            "postal_code": "329767101",
            "telephone_number": "321-593-6999",
            "fax_number": "321-327-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CARMENCITA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "APRN9432845",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "APRN9432845",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Cristina Schillen, MS ARNP-BC
• Sebastian Hospital LLC (Sebastian River Home Health)
• Sebastian Hospital LLC (Sebastian River Medical Center)
• Sebastian Hospital LLC (Sebastian River Home Health)
• Shaw Medical Group LLC (MyHealth by Shaw Medical Group)
• Pio Sian, MD
• Space Coast Medical, LLC
• Sharon Ann Wareing, PMHNP
• John Valdis Zudans, M.D.

• Primary Care Nurse Practitioner in Barefoot Bay, FL
• Providers in Barefoot Bay, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.