Rebecca Ann Shaw

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP.61617606-NP Issued in WA

Practice address

106 Plaza Dr SE Ste C
Yelm, WA 98597-8841

Phone

(360) 999-3440

Fax

(844) 689-9224

NPI assigned

Mar 4, 2020

Last updated

Oct 7, 2026By 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 CO, WA2 enrollments

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 2

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rebecca.shaw.1@13869.direct.athenahealth.com

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.

• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment Care Compare group NPD
• Pahs Onpoint Urgent Care LLC

  dba OnPoint Urgent Care

  • Urgent Care Clinic/Center
  • Highlands Ranch, CO
  • NPI 1811555022
  Medicare reassignment NPD
• Bmore Family Practice PLLC

  • Family Nurse Practitioner
  • Yelm, WA
  • NPI 1033061676
  Medicare reassignment
• Community Medical Services Montana Private LLC

  dba CMS Northglenn

  • Methadone Clinic
  • Northglenn, CO
  • NPI 1578330049
  NPD
• Pahs Onpoint Urgent Care LLC

  dba OnPoint Urgent Care - Dry Creek

  • Urgent Care Clinic/Center
  • Englewood, CO
  • NPI 1023666005
  NPD
• Dispatchhealth Advanced Care - Washington PC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1093324659
  NPD (past)

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1316572902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR SE STE C",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978841",
            "telephone_number": "360-999-3440",
            "fax_number": "844-689-9224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 PLAZA DR SE STE C",
            "city": "YELM",
            "state": "WA",
            "postal_code": "985978841",
            "telephone_number": "360-999-3440",
            "fax_number": "844-689-9224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "REBECCA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP.61617606-NP",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998047-NP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea-Mar Community Health Center (Sea-Mar CHC Yelm SUD)
• Bailey Servoss
• Sethurston Fire Authority
• Sharon Rachel Shadwell, M.S.
• Josielyn Ordonio Shaeffer
• Megan A Shepardson, LMP
• Judd Sherman, D.D.S.
• Sarah S Sherman, D.D.S.
• Jacqueline Shia
• Stephanie Shunk, LMFTA

• Family Nurse Practitioner in Yelm, WA
• Providers in Yelm, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2026; 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.