Angela M Shaw, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71009500A Issued in IN

Practice address

4757 S 7TH St
Terre Haute, IN 47802-4559

Phone

(812) 234-2289

Fax

(812) 232-4234

NPI assigned

Jun 26, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Galen Inpatient Physicians PCGroup PAC ID 3678464633, 1,045 clinicians

Sullivan County Community HospitalGroup PAC ID 2466497482, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
• Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

Merit-based Incentive Payment System (MIPS)

Final score

82.4 of 100Reported as group

Quality

65.6

Improvement activities

40

Cost

71.06

Merit-based Incentive Payment System (MIPS)

Final score

93.06 of 100Reported as group

Quality

80.07

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.shaw.1@8793.direct.athenahealth.com

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.

• Galen Inpatient Physicians, PC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1871178368
  Medicare reassignment Care Compare group NPD
• Sullivan County Community Hospital

  • Clinic/Center
  • Sullivan, IN
  • NPI 1497363303
  Medicare reassignment Care Compare group NPD
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1982424867
  NPD
• In Hospitalists, LLC

  • Hospitalist Physician
  • Terre Haute, IN
  • NPI 1225735384
  NPD
• Sullivan County Community Hospital

  • Critical Access Hospital Clinic/Center
  • Sullivan, IN
  • NPI 1487450698
  NPD
• Sullivan Family Practice, LLC

  • Family Medicine Physician
  • Sullivan, IN
  • NPI 1770502981
  NPD
• Galen Inpatient Physicians PC

  • Hospitalist Physician
  • Los Angeles, CA
  • NPI 1205787686
  NPD

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

• Union Hospital Inc.

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1619975331
  Care Compare affiliation
• Union Hospital, Inc

  • General Acute Care Hospital
  • Terre Haute, IN
  • NPI 1821859752
  Care Compare affiliation
• Union Hospital, Inc.

  dba Union Hospital Clinton

  • Critical Access Hospital
  • Clinton, IN
  • NPI 1306844519
  Care Compare affiliation
• West Central Community Hospital

  • General Acute Care Hospital
  • Clinton, IN
  • NPI 1093713802
  Care Compare affiliation

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

{
    "created_epoch": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1639730013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9901 E STATE ROAD 246",
            "city": "LEWIS",
            "state": "IN",
            "postal_code": "478589744",
            "telephone_number": "812-240-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 S 7TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478024559",
            "telephone_number": "812-234-2289",
            "fax_number": "812-232-4234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71009500A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "F02190171",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://providers.logisticshealth.com",
            "affiliation": "N",
            "endpointDescription": "Logistics Health Incorporated",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4757 S 7th St",
            "city": "Terre Haute",
            "state": "IN",
            "country_code": "US",
            "postal_code": "478024559",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael James Elkins Shanks, DO
• Rajalakshmi V Shantharam, M.D.
• Susan Corrine Sharifi, MD
• Ramesh Shatagopam, MD
• Nicole Jean Shaughnessy, NP
• Maura Shea
• Amanda Kathleen Shelton, CSFA
• Heather M Shelton, M.D.
• Taylor Michelle Shelton, BS, RBT
• Kindra Lee Shepard, FNP

• Nurse Practitioner in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.