JESSALYN SHAW M.D.
NPI 1023470606
Pediatrics - Child Abuse Pediatrics in Worcester, MA

Q: What is Jessalyn Shaw's NPI number?

The NPI number for Jessalyn Shaw is 1023470606. It was assigned to this individual provider in the NPPES registry on March 23, 2016. The provider is also known as Jessalyn Gale.

Q: What is Jessalyn Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Q: When was this NPI record last updated?

The NPPES record for Jessalyn Shaw was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since March 23, 2016PECOS Enrolled

55 LAKE AVE N, WORCESTER, MA 01655(774) 442-6629(774) 443-7399 Get Directions Write a Review

NPPES record last updated: October 9, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2024, Apr 15, 2019, Dec 30, 2018 and 1 more (4 updates tracked since 2016).

On this page

About Jessalyn Shaw M.d. NPPES

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

JESSALYN SHAW M.D. (NPI 1023470606) is an individual child abuse pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (1021425) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1023470606

Entity TypeIndividualFemale

Primary Taxonomy2080C0008X

Provider Legal NameJESSALYN SHAWCredential: M.D.

Location Address55 LAKE AVE NWorcester, MA 01655-0002

Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977

Phone(774) 442-6629

Fax(774) 443-7399

Sole ProprietorNo

Enumeration DateMarch 23, 2016

Last NPPES UpdateOctober 9, 20244 updates tracked since enumeration

NPPES CertifiedOctober 9, 2024

✔ NPI 1023470606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Child Abuse PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080C0008X

License✔ Licensed in MA · 1021425

Definition

A Child Abuse Pediatrician serves as a resource to children, families and communities by accurately diagnosing abuse; consulting with community agencies on child safety; providing expertise in courts of law; treating consequences of abuse and neglect; directing child abuse and neglect prevention programs and participating on multidisciplinary teams investigating; and managing child abuse cases.

Also ListedPediatricsTaxonomy 208000000X · License 125.068279 (IL), 036.148617 (IL), 1021425 (MA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

55 LAKE AVE N, Worcester, MA 01655

Open in Google Maps ↗

Other Names 1

Former Name (1)Jessalyn Gale

Secondary Practice Location 1

Location 1240 E Huron St, McGaw Pavilion Suite 1-200Chicago, IL 60611-2909 · Phone (312) 503-7975

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Taro Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessalyn Shaw M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Billing Reassignment

Medicare enrollment records show Jessalyn Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Umass Memorial Medical Group Inc

Same address

Internal Medicine

55 LAKE AVE N
Worcester, MA 01655

Reassigned Medicare billing, Massachusetts enrollment
2,902 clinicians in this Medicare group

NPI 1760445373 (508) 334-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HILLARY R. IRONS MD

Emergency Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 421-1400

MS. SHERINE MARY HASSEY-HALLIGAN NP

Nurse Practitioner

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

MS. EILEEN A. DUHAMEL NP

Nurse Practitioner

55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-2710

EWA HRYNISZYN CRNA

Nurse Anesthetist, Certified Registered

55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

HELEN COPSEY PA-C

Physician Assistant

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-8585

DR. ADEPEJU GBADEBO CHAMPION M.D.

Internal Medicine

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-2731

SOWMYA KORAPATI

Internal Medicine (Hematology & Oncology)

55 LAKE AVE N
WORCESTER, MA 01655

Worcester County (508) 334-3550

LAYLA FAKHRZADEH M.D.

Anesthesiology

55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655

Worcester County (508) 334-3271

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 Jessalyn Shaw's NPI number?

The NPI number for Jessalyn Shaw is 1023470606. It was assigned to this individual provider in the NPPES registry on March 23, 2016. The provider is also known as Jessalyn Gale.

Where is Jessalyn Shaw located?

Jessalyn Shaw practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-6629.

What is Jessalyn Shaw's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Child Abuse Pediatrics, with taxonomy code 2080C0008X.

Is Jessalyn Shaw enrolled in Medicare?

Yes. Jessalyn Shaw is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jessalyn Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessalyn Shaw reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessalyn Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessalyn Shaw accept?

Health plans from Taro Health list Jessalyn Shaw as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jessalyn Shaw was last updated on October 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.