Jaime Deana Shaw, MSN FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP025903 Issued in PA

Practice address

417 Sabbath Rest Rd Ste 3
Altoona, PA 16601-7567

Phone

(814) 940-8195

Fax

(814) 940-8816

NPI assigned

Jul 12, 2022

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 PA

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

Gates Physician Services LLCGroup PAC ID 4587003884, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jaime.shaw@686546979127300.direct.elationemr.com

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.

• Gates Physician Services LLC

  • Internal Medicine Physician
  • Altoona, PA
  • NPI 1427742238
  Medicare reassignment Care Compare group NPD
• Tyrone Hospital

  • Critical Access Hospital
  • Tyrone, PA
  • NPI 1659472447
  Medicare reassignment NPD
• Pinecroft Medical Center

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1780622621
  NPD

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1346974649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 JACKS WAY",
            "city": "DUNCANSVILLE",
            "state": "PA",
            "postal_code": "166357217",
            "telephone_number": "814-312-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 SABBATH REST RD STE 3",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166017567",
            "telephone_number": "814-940-8195",
            "fax_number": "814-940-8816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JAIME",
        "middle_name": "DEANA",
        "credential": "MSN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Cloa Shaffer, PA-C
• Renee Shandor, LSW
• Hany Shanoudy
• Dennisha Michelle Shaw-Gonzales, LSW
• Cynthia Ann Shaw, RN
• Breanna Shawley, LMT
• Keith Lewis Shawley, BS
• Melinda Laurel Shea, LCSW
• Justin Shearman, OD
• Maura Shearman, MOT, OTR/L

• Family Nurse Practitioner in Altoona, PA
• Providers in Altoona, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.