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ALEXANDRA SHAW PA-C
NPI 1023460789
Physician Assistant - Surgical in Farmington, CT

Active since July 06, 2016PECOS EnrolledAccepts Medicare Assignment
79.34/100
CMS Quality Rating
UCONN MEDICAL GROUP, 263 FARMINGTON AVE, FARMINGTON, CT 06030(860) 679-6600(860) 679-6649 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Alexandra Shaw Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA SHAW PA-C (NPI 1023460789) is an individual surgical provider in Farmington, Connecticut, licensed in Connecticut (3611) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1023460789
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameALEXANDRA SHAWCredential: PA-C
Location AddressUCONN MEDICAL GROUP, 263 FARMINGTON AVEFarmington, CT 06030-0001
Mailing AddressUconn Medical Group, 263 Farmington AveFarmington, CT 06030-0001 · (860) 679-6600 · Fax (860) 679-6649
Phone(860) 679-6600
Fax(860) 679-6649
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 6, 2016
Last NPPES UpdateJuly 11, 2022
✔ NPI 1023460789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in CT · 3611
UCONN MEDICAL GROUP, Farmington, CT 06030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alexandra Shaw Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971898917
PECOS Enrollment IDI20160830000525
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA M. MCCAULEY APRN
Nurse Practitioner (Acute Care)
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. ISAAC MOSS M.D.
Orthopaedic Surgery
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-6600
DR. DANIEL STEWART ROBERTS M.D
Otolaryngology
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2804
MONTGOMERY BERNARD DOUGLAS M.D.
Family Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477
COURTNEY DANIELLE HOLMES APRN
Nurse Practitioner (Adult Health)
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-8400
DR. HYNES MICHAEL BIRMINGHAM SR. M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000
ALISE FRALLICCIARDI M.D.
Emergency Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-2000
VINUTHA MAREGOWDA MD
Internal Medicine
UCONN MEDICAL GROUP, 263 FARMINGTON AVENUE
FARMINGTON, CT 06030
Capitol Planning Region (860) 679-4477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Shaw's NPI number?

The NPI number for Alexandra Shaw is 1023460789. It was assigned to this individual provider in the NPPES registry on July 6, 2016.

Where is Alexandra Shaw located?

Alexandra Shaw practices at Uconn Medical Group 263 Farmington Ave, Farmington, CT 06030. The listed phone number is (860) 679-6600.

What is Alexandra Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Alexandra Shaw enrolled in Medicare?

Yes. Alexandra Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Alexandra Shaw was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.