SHENNA J SHAW NP
NPI 1053783134
Nurse Practitioner in Concord, NC
About Shenna J Shaw Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHENNA J SHAW NP (NPI 1053783134) is an individual nurse practitioner in Concord, North Carolina, licensed in North Carolina (500813) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center-northeast, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Shenna J Shaw Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Shenna Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlotte, NC 28204
- Reassigned Medicare billing, North Carolina enrollment
- 62 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carolinas Medical Center-Northeast
Acute Care Hospitals · Concord, NCAtrium Health University City
Acute Care Hospitals · Charlotte, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CONCORD, NC 28025
CONCORD, NC 28025
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 Shenna Shaw's NPI number?
The NPI number for Shenna Shaw is 1053783134. It was assigned to this individual provider in the NPPES registry on October 28, 2015.
Where is Shenna Shaw located?
Shenna Shaw practices at 1085 NE Gateway Ct NE Ste 100, Concord, NC 28025. The listed phone number is (704) 707-2200.
What is Shenna Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Shenna Shaw enrolled in Medicare?
Yes. Shenna 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.
Which organization bills Medicare for Shenna Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Shenna Shaw reassigns Medicare benefits to Urology Specialists Of The Carolinas PLLC (Charlotte, NC). 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 Shenna Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Shenna Shaw accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 4 other insurers list Shenna 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.
Is Shenna Shaw affiliated with any hospitals?
According to CMS data, Shenna Shaw is affiliated with Carolinas Medical Center-Northeast and Atrium Health University City.
When was this NPI record last updated?
The NPPES record for Shenna Shaw was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Shenna J Shaw, NP · NPI 1053783134
Nurse Practitioner physician in Concord, North Carolina. Individual provider, active in the CMS NPPES registry since October 28, 2015.
## Identity
- **NPI:** 1053783134 (Entity type: Individual)
- **Enumerated:** October 28, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 500813 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1085 NE GATEWAY CT NE STE 100, Concord, NC 28025-2411
- **Phone:** (704) 707-2200 · **Fax:** (704) 707-2203
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Urology Specialists Of The Carolinas PLLC (NPI 1669404208, Charlotte, NC), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** March 31, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1053783134) · Data from the CMS NPPES public registry.