Individual provider Active NPI

Caroline Hess Shaw, PA-C

  • Physician Assistant
  • Naples, FL
National Provider Identifier
1598733313
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9101730 Issued in FL
Practice address
399 9TH St N
#300
Naples, FL 34102-5820
Phone
(239) 624-4200
Fax
(239) 624-4201
NPI assigned
Mar 9, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9101730 FL Primary

Addresses

Primary practice location

399 9TH St N
#300
Naples, FL 34102-5820

Mailing address

399 9TH St N
#300
Naples, FL 34102-5820
Phone (239) 624-4200

Other identifiers 3

IdentifierTypeStateIssuer
000413800MedicaidFL
Y04NSOtherFLBCBS
E6438WOtherFLMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20050517000263 FL Practitioner - Physician Assistant 6608817051 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nchmd IncGroup PAC ID 9436139565, 503 clinicians

Practice addresses (Care Compare)

15420 Collier Blvd
Naples, FL 34120-3917
Phone (239) 624-0600

3302 Bonita Beach Rd
Suite 170
Bonita Springs, FL 34134-4217
Phone (239) 624-1050

399 9TH St N
Naples, FL 34102-5820

680 2ND Ave N
Suite 304
Naples, FL 34102-5757
Phone (239) 261-7711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.25 of 100Reported as apm
Quality
87.73
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9101730FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nchmd, Inc CurrentSince Nov 15, 2015 Accepting new patients
Landmark Hospital of Southwest Florida, LLC CurrentSince Nov 15, 2015 Accepting new patients
Nchmd Inc Past Accepting new patients

Locations

3302 Bonita Beach Rd
Ste 170
Bonita Springs, FL 34134
Phone (239) 624-1050

15420 Collier Blvd
Naples, FL 34120
Phone (239) 624-0600

311 Tamiami Trl N
Ste 201
Naples, FL 34102
Phone (239) 624-0030

680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1598733313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 9TH ST N",
            "address_2": "#300",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025820",
            "telephone_number": "239-624-4200",
            "fax_number": "239-624-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "CAROLINE",
        "middle_name": "HESS",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9101730",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000413800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Y04NS",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "E6438W",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.