Katie Rae Shaw, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1099832 Issued in TX

Practice address

1010 N Mill St
Bowie, TX 76230-3120

Phone

(940) 872-1121

NPI assigned

Nov 15, 2022

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

Medicare fee-for-service enrollment

Enrolled in TX

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jack County Hospital DistrictGroup PAC ID 5890768675, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health Home health agency, Wichita Falls, TX, CCN 459298
• Healing Hands Healthcare LLC Home health agency, Wichita Falls, TX, CCN 677101
• Faith Community Hospital Hospital, Jacksboro, TX, CCN 450241

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katie.shaw.1@11284.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 and National Provider Directory roles.

• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Medicare reassignment Care Compare group NPD
• Jack County Hospital District

  • Rural Acute Care Hospital
  • Bowie, TX
  • NPI 1982460705
  NPD
• Jack County Hospital District

  • Rural Health Clinic/Center
  • Bowie, TX
  • NPI 1417489956
  NPD (past)

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

• First Choice Community Home Care, Inc.

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1437152220
  Care Compare affiliation
• Healing Hands Healthcare

  • Home Health Agency
  • Wichita Falls, TX
  • NPI 1457722449
  Care Compare affiliation
• Jack County Hospital District

  • Ambulatory Surgical Clinic/Center
  • Jacksboro, TX
  • NPI 1154419612

  Hospital

  Care Compare affiliation
• Jack County Hospital District

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1790777696
  Care Compare affiliation

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1841908274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 N MILL ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762303120",
            "telephone_number": "940-366-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N MILL ST",
            "city": "BOWIE",
            "state": "TX",
            "postal_code": "762303120",
            "telephone_number": "940-872-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "KATIE",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "920107",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1099832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Therapy Services PLLC
• Robert D. Evans D.D.S., Inc.
• Cynthia L Robertson, RN,FNP-C
• Amee Marcine Roland, P.T.
• Kara Elizabeth Russell
• John Daniel Smith, PHARMD
• Sara Janice Snow, COTA/L
• St Jo Texas Meals on Wheels, Inc.
• Robert L St John, DDS
• Tammy Jean Stewart

• Family Nurse Practitioner in Bowie, TX
• Providers in Bowie, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.