Individual provider Active NPI

Julie K Shaw, PA-C

  • Medical Physician Assistant
  • Hastings, NE
National Provider Identifier
1942203492
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
715 N Kansas Ave Ste 204
Hastings, NE 68901-4438
Phone
(402) 463-6828
NPI assigned
May 28, 2005
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

715 N Kansas Ave Ste 204
Hastings, NE 68901-4438

Mailing address

715 N Saint Joseph Ave
Hastings, NE 68901-4497
Phone (402) 463-4521

Other identifiers 1

IdentifierTypeStateIssuer
47063717813MedicaidNE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Mary Lanning Memorial Hospital AssociationGroup PAC ID 4587575550, shared by 6 NPIs, 129 clinicians

Practice addresses (Care Compare)

2115 N Kansas Ave
103 Central NE Children and Adolescent Clinic
Hastings, NE 68901-2692
Phone (402) 463-6828

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1014NEMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Clinic of Central Nebraska PC Past Accepting new patients
The Mary Lanning Memorial Hospital Association Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jshaw165794@direct.nebraskamed.com
  • Direct secure messaging: julie@caacclinic.directbygreenway.com

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": "1117238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1942203492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 N SAINT JOSEPH AVE",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014497",
            "telephone_number": "402-463-4521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 N KANSAS AVE STE 204",
            "city": "HASTINGS",
            "state": "NE",
            "postal_code": "689014438",
            "telephone_number": "402-463-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAW",
        "first_name": "JULIE",
        "middle_name": "K",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-28",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47063717813",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hastings, NE

Sources for this page

Verify at the official NPI Registry.