Individual provider Active NPI

Patricia Ahern Shaw, FNP

  • Family Nurse Practitioner
  • Albany, NY
National Provider Identifier
1992894349
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F331885 Issued in NY
Practice address
391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412
Phone
(518) 262-5640
Fax
(518) 262-9413
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 F331885 NY Primary

Addresses

Primary practice location

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412

Mailing address

391 Myrtle Ave Ste 5
Albany, NY 12208-3797
Phone (518) 262-5640

Other practice location 1

1250 Riverfront Ctr Ste 2420
Amsterdam, NY 12010-4602
Phone (518) 262-5640

Other practice location 2

258 Hoosick St Ste 101
Troy, NY 12180-2446
Phone (518) 262-5640

Other practice location 3

1201 Nott St Ste 202
Schenectady, NY 12308-2589
Phone (518) 262-5640

Other practice location 4

7 Southwoods Blvd
Albany, NY 12211-2514
Phone (518) 262-5640

Other identifiers 1

IdentifierTypeStateIssuer
01804131MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20140625000768 NY Practitioner - Nurse Practitioner 9739322496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

Hospital & facility affiliations

  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F331885NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 6, 2014 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Dec 31, 2023 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

391 Myrtle Ave
Ste 5
Albany, NY 12208
Phone (518) 262-7240

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

2420 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 627-0469

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1769 Union St
Ste 2
Niskayuna, NY 12309
Phone (518) 382-1151

377 Church St
Saratoga Springs, NY 12866
Phone (518) 203-2582

1201 Nott St
Ste 202
Schenectady, NY 12308
Phone (518) 370-1814

1201 Nott St
Ste 201202
Schenectady, NY 12308

Interoperability endpoints

  • Direct secure messaging: pshaw29462@albanymed.direct-ci.com

Organizations & group practices 7

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 7

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992894349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE STE 5",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083797",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE., SUITE 5",
            "address_2": "THE VASCULAR GROUP, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1250 Riverfront Ctr Ste 2420",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120104602",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "258 Hoosick St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802446",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Nott St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082589",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Southwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122112514",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAW",
        "first_name": "PATRICIA",
        "middle_name": "AHERN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F331885",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01804131",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.