Happy Star Shaw, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95016055 Issued in CA

Practice address

29632 Hwy 299 E
Round Mountain, CA 96084

Phone

(530) 337-6243

Fax

(530) 337-6655

NPI assigned

Dec 9, 2020

Last updated

Dec 9, 2020By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountain Valleys Health CentersGroup PAC ID 4284685538, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayers Memorial Hospital Hospital, Fall River Mills, CA, CCN 051305
• Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319
• Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hshaw678562@direct.ochin.org

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.

• Mountain Valleys Health Centers

  dba Big Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Bieber, CA
  • NPI 1356438261
  Medicare reassignment Care Compare group NPD
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  NPD
• Mountain Valleys Health Centers

  dba Mount Shasta Alternative Health Center

  • Federally Qualified Health Center (FQHC)
  • Mount Shasta, CA
  • NPI 1588470025
  NPD
• Mountain Valleys Health Centers

  dba Fall River Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Fall River Mills, CA
  • NPI 1922179498
  NPD

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

• Dignity Health

  dba Mercy Medical Center Mt. Shasta

  • Critical Access Hospital
  • Mount Shasta, CA
  • NPI 1518085430
  Care Compare affiliation
• Mayers Memorial Hospital District

  • Critical Access Hospital
  • Fall River Mills, CA
  • NPI 1912125667
  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • Occupational Therapist
  • Klamath Falls, OR
  • NPI 1134270911

  Hospital

  Care Compare affiliation
• Sky Lakes Medical Center Inc

  • General Acute Care Hospital
  • Klamath Falls, OR
  • NPI 1659340370
  Care Compare affiliation

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1376149864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "960840228",
            "telephone_number": "530-337-6243",
            "fax_number": "530-337-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29632 HWY 299 E",
            "city": "ROUND MOUNTAIN",
            "state": "CA",
            "postal_code": "96084",
            "telephone_number": "530-337-6243",
            "fax_number": "530-337-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "HAPPY",
        "middle_name": "STAR",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikhaelii Maplesden, RDH
• Lester Diaz Martinez, DDS
• Christopher David Nelson, D.D.S.
• Hannah McKenzie Pearson, RDH
• Jaclyn Romo, ACSW
• William Hunter Sutherland, DMD
• Kenna Rose Tyree, RDH
• Alexandria Walesch, RDH
• Lisa Rena Williams

• Family Nurse Practitioner in Round Mountain, CA
• Providers in Round Mountain, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.