Mandy L Shaw, M.D,

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22592 Issued in NE

Practice address

900 Cedar St
Julesburg, CO 80737-1121

Phone

(308) 249-6600

Fax

(970) 474-2758

NPI assigned

Nov 3, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

University of Nebraska College of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sedgwick County Memorial HospitalGroup PAC ID 1052201100, shared by 5 NPIs, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sedgwick County Memorial Hospital Hospital, Julesburg, CO, CCN 061310
• Sidney Regional Medical Center Hospital, Sidney, NE, CCN 281357
• Sterling Regional Medcenter Hospital, Sterling, CO, CCN 060076
• Regional West Medical Center Hospital, Scottsbluff, NE, CCN 280061
• Melissa Memorial Hospital Hospital, Holyoke, CO, CCN 061305

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sedgwick County Memorial Hospital

  • Family Medicine Physician
  • Julesburg, CO
  • NPI 1881602738
  Medicare reassignment NPD
• Sedgwick County Memorial Hospital

  • Family Medicine Physician
  • Chappell, NE
  • NPI 1346013612
  Medicare reassignment NPD
• Ogallala Community Hospital

  • Critical Access Hospital
  • Ogallala, NE
  • NPI 1710915467
  Medicare reassignment
• Regional West Physicians Clinic

  • Rural Health Clinic/Center
  • Mitchell, NE
  • NPI 1992703425
  NPD (past)
• Sedgwick County Memorial Hospital

  • Family Medicine Physician
  • Big Springs, NE
  • NPI 1790790566
  NPD (past)

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

• East Phillips County Hospital District

  • Critical Access Hospital
  • Holyoke, CO
  • NPI 1891733879
  Care Compare affiliation
• Sedgwick County Memorial Hospital

  • Critical Access Hospital
  • Julesburg, CO
  • NPI 1740295591
  Care Compare affiliation
• Sterling Regional Medcenter

  • General Acute Care Hospital
  • Sterling, CO
  • NPI 1942238555
  Care Compare affiliation
• Cheyenne County Hospital Association Inc

  • Critical Access Hospital
  • Sidney, NE
  • NPI 1487736963
  Care Compare affiliation
• Regional West Medical Center

  • General Acute Care Hospital
  • Scottsbluff, NE
  • NPI 1639101199
  Care Compare affiliation

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762646400000",
    "number": "1972682870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "970-474-3323",
            "fax_number": "970-474-2758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CEDAR ST",
            "city": "JULESBURG",
            "state": "CO",
            "postal_code": "807371121",
            "telephone_number": "308-249-6600",
            "fax_number": "970-474-2758"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "758 2nd St",
            "address_purpose": "LOCATION",
            "city": "Chappell",
            "state": "NE",
            "postal_code": "691296876",
            "country_code": "US",
            "telephone_number": "308-205-0706",
            "fax_number": "308-272-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "MANDY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2025-11-09",
        "certification_date": "2025-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "22592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00253777",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NEBRASKA",
            "identifier": "30482",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sedgwick County Hospital
• Sedgwick County Memorial Hospital
• Sedgwick County Memorial Hospital
• Sedgwick County Memorial Hospital
• Sedgwick County Memorial Hospital and Nursing Home
• Connie Swick
• Michael Taylor

• Family Medicine Physician in Julesburg, CO
• Providers in Julesburg, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2025; 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.