Individual provider Active NPI

Janna R Shaw, CRNP

  • Family Nurse Practitioner
  • Erie, PA
National Provider Identifier
1922782283
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP027719 Issued in PA
Practice address
2500 W 12TH St
Erie, PA 16505-4500
Phone
(814) 836-2600
NPI assigned
Jun 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP027719 PA Primary

Addresses

Primary practice location

2500 W 12TH St
Erie, PA 16505-4500

Mailing address

916 Sill Ave
Erie, PA 16505-3918
Phone (814) 460-8451

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231008000105 PA Practitioner - Nurse Practitioner 7012362205 Reassigns benefits to 1 organization
I20240813002248 NY Practitioner - Nurse Practitioner 7012362205 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oncology Hematology Association IncGroup PAC ID 9830003300, 201 clinicians

Practice addresses (Care Compare)

2500 W 12TH St
Erie, PA 16505-4500
Phone (814) 838-9000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP027719PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Chautauqua at Wca CurrentSince May 18, 2024 Accepting new patients
Upmc Chautauqua at Wca CurrentSince May 18, 2024 Accepting new patients
Oncology Hematology Association Inc CurrentSince Aug 13, 2023 Accepting new patients
Oncology Hematology Association CurrentSince Aug 13, 2023 Accepting new patients

Locations

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

2500 W 12th St
Erie, PA 16505
Phone (814) 838-9000

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020

Interoperability endpoints

  • Direct secure messaging: jshaw228836@upmc.direct-ci.com
  • Direct secure messaging: janna.r.shaw@upmcdirect.com

Organizations & group practices 4

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.

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": "1686700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1922782283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "916 SILL AVE",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165053918",
            "telephone_number": "814-460-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W 12TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165054500",
            "telephone_number": "814-836-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JANNA",
        "middle_name": "R",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP027719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.