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MICHAEL GEORGE SHAW PMHNP-BC
NPI 1073058020
Nurse Practitioner - Psychiatric/Mental Health in Brandon, MS

Active since December 29, 2016PECOS EnrolledAccepts Medicare Assignment
23 PEBBLE HILL DR, BRANDON, MS 39042(601) 941-6897 Get Directions Write a Review

NPPES record last updated: December 29, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael George Shaw Pmhnp-bc NPPES

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

MICHAEL GEORGE SHAW PMHNP-BC (NPI 1073058020) is an individual psychiatric/mental health provider in Brandon, Mississippi, licensed in Mississippi (901869) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1073058020
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMICHAEL GEORGE SHAWCredential: PMHNP-BC
Location Address23 PEBBLE HILL DRBrandon, MS 39042-2140
Mailing Address23 Pebble Hill DrBrandon, MS 39042-2140 · (601) 941-6897
Phone(601) 941-6897
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 29, 2016
✔ NPI 1073058020 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
License✔ Licensed in MS · 901869
23 PEBBLE HILL DR, Brandon, MS 39042
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.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

Michael George Shaw Pmhnp-bc 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 ID8123301793
PECOS Enrollment IDI20170204000101
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 Reassignments

4

Medicare enrollment records show Michael Shaw reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mdb Care Management LLC
5.3 mi
Primary Care
215 KATHERINE DR
Flowood, MS 39232
  • Reassigned Medicare billing, Mississippi enrollment
  • 89 clinicians in this Medicare group
NPI 1144925272 (601) 665-4162
Mdb Behavioral Health Services LLC
50 mi
Rural Health
1911 MISSION 66 STE B
Vicksburg, MS 39180
  • Reassigned Medicare billing, Mississippi enrollment
  • 180 clinicians in this Medicare group
NPI 1669835310 (601) 665-4162
Region Ten Commission State Of Ms
75 mi
Mental Health (Including Community Mental Health Center)
1415 COLLEGE DRIVE
Meridian, MS 39307
  • Reassigned Medicare billing, Mississippi enrollment
  • Medicare enrollment name: Region Ten State Of Ms
  • 27 clinicians in this Medicare group
NPI 1073626511 (601) 483-4821
Uppal Medical Center LLC
97 mi
Rural Health
1727 E UNION ST
Greenville, MS 38703
  • Reassigned Medicare billing, Mississippi enrollment
  • 164 clinicians in this Medicare group
NPI 1558927905 (662) 577-6673

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
17 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39042 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

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 Michael Shaw's NPI number?

The NPI number for Michael Shaw is 1073058020. It was assigned to this individual provider in the NPPES registry on December 29, 2016.

Where is Michael Shaw located?

Michael Shaw practices at 23 Pebble Hill Dr, Brandon, MS 39042. The listed phone number is (601) 941-6897.

What is Michael Shaw's specialty?

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

Is Michael Shaw enrolled in Medicare?

Yes. Michael 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 organizations bill Medicare for Michael Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shaw reassigns Medicare benefits to 4 organizations: Mdb Care Management LLC (Flowood, MS), Mdb Behavioral Health Services LLC (Vicksburg, MS), Region Ten Commission State Of Ms (Meridian, MS) and Uppal Medical Center LLC (Greenville, MS). Each 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 Michael Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Shaw accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Michael 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 Michael Shaw was last updated on December 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.