Active NPI
Maxwell C Shaw-Jones, APRN
- Family Nurse Practitioner
- Seattle, WA
National Provider Identifier
1295414746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP61468286
- Practice address
- 8720 14TH Ave S
Seattle, WA 98108-4807 - Phone
- (206) 762-3730
- NPI assigned
- Jul 12, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 61448412 | WA | |
| Primary Care Nurse Practitioner | 363LP2300X | AP61468286 | WA | |
| Family Nurse Practitioner | 363LF0000X | AP61468286 | WA | Primary |
Addresses
Primary practice location
8720 14TH Ave S
Seattle, WA 98108-4807
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6603
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2263480 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8720 14TH Ave S
Seattle, WA 98108-4807
Phone (206) 762-3730
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61448412 | WA | MD | Community Health Registered Nurse |
| AP61468286 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Current | Accepting new patients | |
| Sea Mar Community Health Centers | Family | Current | Accepting new patients |
| Sea-Mar Community Health Center | Past | Accepting new patients |
Locations
8720 14th Ave S
Seattle, WA 98108
Phone (206) 762-3730
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1811051170
Family
-
- Federally Qualified Health Center (FQHC)
- Federal Way, WA
- NPI 1114475878
-
- Federally Qualified Health Center (FQHC)
- Spanaway, WA
- NPI 1922624642
-
- Family Medicine Physician
- Seattle, WA
- NPI 1942358817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740355200000",
"number": "1295414746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6603",
"fax_number": "206-764-8005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8720 14TH AVE S",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981084807",
"telephone_number": "206-762-3730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHAW-JONES",
"first_name": "MAXWELL",
"middle_name": "C",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-12",
"last_updated": "2025-02-24",
"certification_date": "2025-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "WA",
"license": "61448412",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "WA",
"license": "AP61468286",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP61468286",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2263480",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.