Kaitlyn Cheyenne Shaw, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

81510 Issued in KS

Practice address

3211 S Seneca St
Wichita, KS 67217-3348

Phone

(316) 670-1582

NPI assigned

May 15, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Newton Healthcare CorporationGroup PAC ID 5294646477, 56 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• NMC Health Hospital, Newton, KS, CCN 170103

Merit-based Incentive Payment System (MIPS)

Final score

78.73 of 100Reported as group

Quality

54.57

Promoting interoperability

100

Improvement activities

40

Cost

74.52

Merit-based Incentive Payment System (MIPS)

Final score

85.29 of 100Reported as group

Quality

71.33

Promoting interoperability

100

Improvement activities

40

Cost

79.65

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Newton Healthcare Corporation

  dba Newton Medical Center

  • Family Medicine Physician
  • Newton, KS
  • NPI 1871588533

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Little Clinic of Kansas LLC

  • Family Nurse Practitioner
  • Wichita, KS
  • NPI 1821483132
  Medicare reassignment
• Newton Healthcare Corporation

  dba NMC Health Emergency Department

  • Emergency Medicine Physician
  • Newton, KS
  • NPI 1124250808
  NPD
• Newton Healthcare Corporation

  dba NMC Health Home Health Agency

  • Home Health Agency
  • Newton, KS
  • NPI 1588755169
  NPD

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

• Newton Healthcare Corporation

  dba NMC Health

  • General Acute Care Hospital
  • Newton, KS
  • NPI 1245238435
  Care Compare affiliation

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

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1326739178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 ELM HILL PIKE",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372143108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 S SENECA ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672173348",
            "telephone_number": "316-670-1582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KAITLYN",
        "middle_name": "CHEYENNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "81510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Shaw, MD
• Jacob D Shaw, O.D.
• James M Shaw, M.D.
• Jessica Lorin Jewell Shaw, MD
• Jordan Shaw, APRN
• Kayla Shaw
• Marilyn Shaw, LMSW-T
• Michael N Shaw, PA
• Quentin Shaw, OD
• Sarah Marie Shaw

• Family Nurse Practitioner in Wichita, KS
• Providers in Wichita, KS by specialty
• Family Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2023; 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.