Individual provider Active NPI

Jeremy Michael Shaw, APRN

  • Family Nurse Practitioner
  • Topeka, KS
National Provider Identifier
1942177415
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-84884-021 Issued in KS
Practice address
200 SW Frazier Cir
Topeka, KS 66606-2800
Phone
(785) 232-2044
NPI assigned
Oct 20, 2025
Last updated
Oct 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-84884-021 KS Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 53-84884-021 KS

Addresses

Primary practice location

200 SW Frazier Cir
Topeka, KS 66606-2800

Mailing address

200 SW Frazier Cir
Topeka, KS 66606-2800
Phone (785) 232-2044

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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

Enrollment IDStateProvider typePAC IDDetails
I20251219001871 KS Practitioner - Nurse Practitioner 5597250274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1102 S Hillside St
Wichita, KS 67211-4004

5125 SW 32ND St
Topeka, KS 66614-3903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-84884-021KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Midland Care Connection, Inc. CurrentSince Nov 3, 2025 Accepting new patients
Midland Care Connection, Inc. Hospice and Palliative Medicine CurrentSince Nov 3, 2025 Accepting new patients

Locations

120 SW Frazier Ave
Topeka, KS 66606
Phone (785) 232-2044

200 SW Frazier Cir
Topeka, KS 66606
Phone (785) 232-2044

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1760918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1942177415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SW FRAZIER CIR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666062800",
            "telephone_number": "785-232-2044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-20",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-84884-021",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "KS",
            "license": "53-84884-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.