Angela Ellane Shaw, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61167326 Issued in WA

Practice address

1776 Fowler St
Richland, WA 99352-4833

Phone

(509) 735-9355

Fax

(509) 222-1151

NPI assigned

May 4, 2021

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

Other names 1

• Angela Ellane Shaw Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Merit-based Incentive Payment System (MIPS)

Final score

83.74 of 100Reported as group

Quality

68.19

Improvement activities

40

Cost

88.21

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: angela.shaw.p2@direct.medcor.nextgenshare.com

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.

• County of Lincoln

  • Federally Qualified Health Center (FQHC)
  • Newport, OR
  • NPI 1992755664
  NPD

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1831772128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1776 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524833",
            "telephone_number": "509-735-9355",
            "fax_number": "509-222-1151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1776 FOWLER ST",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524833",
            "telephone_number": "509-735-9355",
            "fax_number": "509-222-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "ANGELA",
        "middle_name": "ELLANE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61167326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SHAW",
            "middle_name": "ELLANE",
            "credential": "MSN, RN, ARNP-FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Haley Anne Shannon, ARNP
• Jillian Leigh Shannon
• Steven Shao, DO
• Estrella Mayella Sharkey, AFFILIATED COUNSELOR
• Vimal C Sharma, MD
• Rebecca L Shaw
• Rebekah Anne Shaw
• Daniel James Shea, SUDPT
• Marguerite M Shea
• Hannah Sheehan

• Family Nurse Practitioner in Richland, WA
• Providers in Richland, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.