Individual provider Active NPI

Leslie S Shaw, NP

  • Family Medicine Physician
  • Raleigh, NC
National Provider Identifier
1720360746
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NJ00345100 Issued in NJ
Practice address
2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone
(866) 389-2727
NPI assigned
Sep 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 12

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 24194163 VA
Family Medicine Physician 207Q00000X F357693-01 NY
Family Medicine Physician 207Q00000X 26NJ00345100 NJ Primary
Family Medicine Physician 207Q00000X 27132 SC
Family Medicine Physician 207Q00000X 17231-33 WI
Family Medicine Physician 207Q00000X 123764 WV
Family Medicine Physician 207Q00000X 5021999 NC
Family Medicine Physician 207Q00000X 203019 ND
Family Medicine Physician 207Q00000X 11860 CT
Family Medicine Physician 207Q00000X GAA-NP003835 GA
Family Medicine Physician 207Q00000X SP016443 PA
Family Medicine Physician 207Q00000X CP003764 SD

Addresses

Primary practice location

2340 Spring Forest Rd
Raleigh, NC 27615-7528

Mailing address

2 Lucille LN
Cherry Hill, NJ 08003-1031
Phone (609) 206-7872

Other practice location 1

1650 N Farwell Ave
Milwaukee, WI 53202-2331
Phone (866) 389-2727

Other practice location 2

360 Route 73 S
Marlton, NJ 08053-2004
Phone (856) 596-7010

Other practice location 3

323 Cromwell Ave
Rocky Hill, CT 06067-1801
Phone (866) 389-2727

Other practice location 4

107 S Country Rd
Bellport, NY 11713-2523
Phone (866) 389-2727

Other practice location 5

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

Other practice location 6

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

Other practice location 7

2782 N Cobb Pkwy
Kennesaw, GA 30152-3472
Phone (866) 389-2727

Other practice location 8

6 Fairview Lake Way
Simpsonville, SC 29680-7130
Phone (866) 389-2727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, NC, CT, SC, WI, DC, GA, VA, NY10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20111121000523 NJ Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 3 organizations
I20170104001392 PA Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization
I20250505000386 NC Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization
I20250807002763 CT Practitioner - Nurse Practitioner 5294909669
I20250812003667 SC Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 2 organizations
I20250902003954 WI Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 2 organizations
I20250911000110 DC Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization
I20250911002610 GA Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization
I20250917002540 VA Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization
I20251001003656 NY Practitioner - Nurse Practitioner 5294909669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians
Minuteclinic Diagnostic of North Carolina PCGroup PAC ID 6002837572, 208 clinicians
Innovative Training and Healthcare SolutionsGroup PAC ID 2769911809, 6 clinicians
Medical Group of New York PCGroup PAC ID 2567642044, 61 clinicians
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians

Practice addresses (Care Compare)

183 Route 206 S
Chester, NJ 07930-2547
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

2340 Spring Forest Rd
Raleigh, NC 27615-7528
Phone (866) 389-2727

360 Route 73 S
Marlton, NJ 08053-2004
Phone (866) 389-2727

3718 Church Rd
Mount Laurel, NJ 08054-1104
Phone (609) 605-7836

375 White Plains Rd
Eastchester, NY 10709-2826
Phone (866) 389-2727

4 Ryan Rd
Marlboro, NJ 07746-2445
Phone (866) 389-2727

471 Main St
Chatham, NJ 07928-2102
Phone (866) 389-2727

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
77.71
Improvement activities
40
Cost
82.25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11860CTMDFamily Medicine Physician
GAA-NP003835GAMDFamily Medicine Physician
203019NDMDFamily Medicine Physician
26NJ00345100NJMDFamily Medicine Physician
F357693-01NYMDFamily Medicine Physician
SP016443PAMDFamily Medicine Physician
CP003764SDMDFamily Medicine Physician
24194163VAMDFamily Medicine Physician
17231-33WIMDFamily Medicine Physician
123764WVMDFamily Medicine Physician
27132SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Video Virtual Care of Wisconsin, SC Family Medicine CurrentSince Aug 20, 2025 Accepting new patients
Health Focus Agency CurrentSince Jan 1, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Apr 25, 2025 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Jul 30, 2025 Accepting new patients
Minuteclinic Diagnostic of Pennsylvania LLC Family Medicine CurrentSince Nov 17, 2016 Accepting new patients
Minuteclinic Primary Care New Jersey LLC Family CurrentSince Jul 16, 2025 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family Medicine CurrentSince Jul 7, 2025 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Sep 24, 2025 Accepting new patients
Minuteclinic LLC Family CurrentSince Aug 20, 2025 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family Medicine CurrentSince Oct 4, 2011 Accepting new patients
Minuteclinic Diagnostic of Wisconsin, LLC Family CurrentSince Aug 20, 2025 Accepting new patients
Minuteclinic Diagnostic South Carolina LLC Family CurrentSince Jul 7, 2025 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince Aug 25, 2025 Accepting new patients
Innovative Training and Healthcare Solutions Family CurrentSince Jul 1, 2025 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

360 Route 73 S
Marlton, NJ 08053
Phone (856) 596-7010

3718 Church Rd
Mount Laurel, NJ 08054
Phone (609) 605-7836

307 Egg Harbor Rd
Sewell, NJ 08080
Phone (856) 589-1177

151 Fries Mill Rd
Ste 104
Turnersville, NJ 08012
Phone (856) 312-3057

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

375 White Plains Rd
Eastchester, NY 10709
Phone (914) 337-5300

7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910

1218 E Lancaster Ave
Bryn Mawr, PA 19010
Phone (610) 519-1920

840 S Valley Forge Rd
Lansdale, PA 19446
Phone (215) 362-6303

6501 Harbison Ave
Philadelphia, PA 19149
Phone (215) 268-1164

1 Cvs Dr
#2295
Woonsocket, RI 02895
Phone (401) 770-8043

698 Fairview Rd
Simpsonville, SC 29680
Phone (864) 962-8991

1636 Belle View Blvd
Alexandria, VA 22307
Phone (703) 703-7687

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

1650 N Farwell Ave
Milwaukee, WI 53202
Phone (414) 277-5044

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1720360746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LUCILLE LN",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080031031",
            "telephone_number": "609-206-7872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 SPRING FOREST RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276157528",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1650 N Farwell Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532022331",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "360 Route 73 S",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532004",
            "country_code": "US",
            "telephone_number": "856-596-7010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "323 Cromwell Ave",
            "address_purpose": "LOCATION",
            "city": "Rocky Hill",
            "state": "CT",
            "postal_code": "060671801",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "107 S Country Rd",
            "address_purpose": "LOCATION",
            "city": "Bellport",
            "state": "NY",
            "postal_code": "117132523",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19305 Ruby Dr",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201766508",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1218 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190102616",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2782 N Cobb Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kennesaw",
            "state": "GA",
            "postal_code": "301523472",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Fairview Lake Way",
            "address_purpose": "LOCATION",
            "city": "Simpsonville",
            "state": "SC",
            "postal_code": "296807130",
            "country_code": "US",
            "telephone_number": "866-389-2727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "LESLIE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "24194163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F357693-01",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ00345100",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "27132",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "17231-33",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "123764",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "5021999",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "203019",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "11860",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "GAA-NP003835",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP016443",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "CP003764",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.