JONATHAN SHAW PMHNP
NPI 1023641743
Nurse Practitioner - Psychiatric/Mental Health in Eugene, OR

Active since February 20, 2020PECOS EnrolledAccepts Medicare Assignment
1755 COBURG RD UNIT 301, EUGENE, OR 97401(888) 468-9669(541) 632-4858 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 25, 2022, Jul 27, 2021, May 3, 2021 and 1 more (4 updates tracked since 2020).

About Jonathan Shaw Pmhnp NPPES

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

JONATHAN SHAW PMHNP (NPI 1023641743) is an individual psychiatric/mental health provider in Eugene, Oregon, licensed in Oregon (202108944NP-PP) and active in the NPI registry since February 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1023641743
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJONATHAN SHAWCredential: PMHNP
Location Address1755 COBURG RD UNIT 301Eugene, OR 97401-4900
Mailing Address1309 Coffeen Ave Ste 1200Sheridan, WY 82801-5777 · (888) 985-4287 · Fax (541) 632-4858
Fax(541) 632-4858
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 20, 2020
Last NPPES UpdateJanuary 30, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 30, 2025
NPI 1023641743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in OR · 202108944NP-PP Licensed in CA · 95017588 Licensed in NV · 836571 Licensed in WY · 47689 Licensed in WA · AP61160807
1755 COBURG RD UNIT 301, Eugene, OR 97401

Accepted Insurance

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

Jonathan Shaw Pmhnp 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 ID2769729060
PECOS Enrollment IDI20220404002010
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.82 typical visit price
range $54.96 – $166.64
Typical copayment $21.20 (range $13.74 – $41.66)
Most-billed visit code 99203
Established Patient
$97.16 typical visit price
range $17.68 – $136.19
Typical copayment $24.29 (range $4.42 – $34.04)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Social Worker (Clinical)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Counselor (Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401
Nurse Practitioner (Psychiatric/Mental Health)
1755 COBURG RD UNIT 301
EUGENE, OR 97401

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 Jonathan Shaw's NPI number?

The NPI number for Jonathan Shaw is 1023641743. It was assigned to this individual provider in the NPPES registry on February 20, 2020.

Where is Jonathan Shaw located?

Jonathan Shaw practices at 1755 Coburg Rd Unit 301, Eugene, OR 97401. The listed phone number is (888) 468-9669.

What is Jonathan Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jonathan Shaw enrolled in Medicare?

Yes. Jonathan 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.

What insurance does Jonathan Shaw accept?

Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and UnitedHealthcare list Jonathan 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 Jonathan Shaw was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.