MICHAEL N SHAW PA
NPI 1063482917
Physician Assistant - Medical in Wichita, KS

Q: What is Michael Shaw's NPI number?

The NPI number for Michael Shaw is 1063482917. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Q: What is Michael Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: Is Michael Shaw enrolled in Medicare?

No. Michael Shaw has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Michael Shaw was last updated on September 17, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 24, 2006Opted out of Medicare · through Apr 1, 2028

2600 N WOODLAWN ST, WICHITA, KS 67220(316) 684-3838(316) 858-2521 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Michael N Shaw Pa NPPES

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

MICHAEL N SHAW PA (NPI 1063482917) is an individual medical provider in Wichita, Kansas, licensed in Kansas (15-00115) and active in the NPI registry since January 2006. He has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1063482917

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMICHAEL N SHAWCredential: PA

Location Address2600 N WOODLAWN STWichita, KS 67220-2729

Mailing Address2600 N Woodlawn StWichita, KS 67220-2729 · (316) 684-3838 · Fax (316) 858-2521

Phone(316) 684-3838

Fax(316) 858-2521

Sole ProprietorNo

Enumeration DateJanuary 24, 2006

Last NPPES UpdateSeptember 17, 2015

✔ NPI 1063482917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in KS · 15-00115

2600 N WOODLAWN ST, Wichita, KS 67220

Open in Google Maps ↗

Other Identifiers 4

Medicaid100004660CKS

Medicare PIN004052033KS

Medicare PIN111078014KS

Medicare UPINS57630KS

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Michael N Shaw Pa has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2022 through April 1, 2028.

Opt-Out Effective DateApril 1, 2022

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Leave this field empty

Other Providers at the Same Location NPPES 13

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

KRISTEN WOLF PA

Physician Assistant (Medical)