Individual provider Active NPI

David Shaw, CRNP

  • Family Nurse Practitioner
  • Bethel Park, PA
National Provider Identifier
1417787086
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP030042 Issued in PA
Practice address
2000 Oxford Dr Ste 100
Bethel Park, PA 15102-1898
Phone
(412) 438-3244
NPI assigned
Aug 7, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP030042 PA Primary
Family Nurse Practitioner 363LF0000X 359148 NY

Addresses

Primary practice location

2000 Oxford Dr Ste 100
Bethel Park, PA 15102-1898

Mailing address

2000 Oxford Dr Ste 100
Bethel Park, PA 15102-1898
Phone (412) 438-3244

Other practice location 1

161 Cecil B Moore Ave Apt 204
Philadelphia, PA 19122-3243
Phone (425) 298-8989 ext. 115

Other practice location 2

18 E 41st St Fl 14
New York, NY 10017-6244
Phone (215) 585-2144

Other practice location 3

527 Bay Rd Ste 7
Queensbury, NY 12804-1430
Phone (215) 585-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20241002001313 PA Practitioner - Nurse Practitioner 4981135837 Reassigns benefits to 4 organizations
I20260312003313 NY Practitioner - Nurse Practitioner 4981135837 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Clair Medical Services IncGroup PAC ID 4183511553, 203 clinicians
Ophelia Medical Group FL PAGroup PAC ID 7810398534, 103 clinicians

Practice addresses (Care Compare)

1000 Bower Hill Rd
Pittsburgh, PA 15243-1873

161 Cecil B Moore Ave
Apt 204
Philadelphia, PA 19122-3243
Phone (215) 585-2144

2000 Oxford Dr
Bethel Park, PA 15102-1827
Phone (412) 942-7295

527 Bay Rd
Suite 7
Queensbury, NY 12804-1430
Phone (215) 585-2144

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
359148NYMDFamily Nurse Practitioner
SP030042PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Medical Services Inc CurrentSince Nov 7, 2024 Accepting new patients
Co-Hill Urgent Care & Wellness Center LLC CurrentSince Apr 1, 2025 Accepting new patients
St Clair Medical Services, Inc. CurrentSince Nov 7, 2024 Accepting new patients
Co-Hill Urgent Care & Wellness Center LLC CurrentSince Apr 1, 2025 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 1, 2025 Accepting new patients
Ophelia Medical Group FL, P.a. CurrentSince Jul 16, 2025 Accepting new patients
Ophelia Medical Group, P.C. CurrentSince Jul 16, 2025 Accepting new patients

Locations

18 E 41st St
Fl 14
New York, NY 10017
Phone (305) 395-4313

228 Park Ave S
New York, NY 10003
Phone (215) 588-2144

527 Bay Rd
Ste 7
Queensbury, NY 12804
Phone (212) 585-2144

3211 4th Ave
Beaver Falls, PA 15010
Phone (724) 846-1784

2000 Oxford Dr
Ste 100
Bethel Park, PA 15102
Phone (412) 831-1522

100 Perry Hwy
Unit 103
Harmony, PA 16037
Phone (724) 473-4575

600 N 2nd St
Ste 401
Harrisburg, PA 17101
Phone (844) 341-2339

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1417787086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 100",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021898",
            "telephone_number": "412-438-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR STE 100",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021898",
            "telephone_number": "412-438-3244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "161 Cecil B Moore Ave Apt 204",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191223243",
            "country_code": "US",
            "telephone_number": "425-298-8989 x115",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E 41st St Fl 14",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176244",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "527 Bay Rd Ste 7",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128041430",
            "country_code": "US",
            "telephone_number": "215-585-2144",
            "fax_number": "833-228-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "DAVID",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP030042",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "359148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.