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AMANDA SHAW PMHNP
NPI 1083362560
Nurse Practitioner - Psychiatric/Mental Health in Huntington Beach, CA

Active since March 14, 2022PECOS EnrolledAccepts Medicare Assignment
18602 DEMION LN APT C, HUNTINGTON BEACH, CA 92646(661) 319-7834 Get Directions Write a Review

NPPES record last updated: March 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Shaw Pmhnp NPPES

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

AMANDA SHAW PMHNP (NPI 1083362560) is an individual psychiatric/mental health provider in Huntington Beach, California, licensed in California (95019414) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1083362560
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAMANDA SHAWCredential: PMHNP
Location Address18602 DEMION LN APT CHuntington Beach, CA 92646-8812
Mailing Address18602 Demion Ln Apt CHuntington Beach, CA 92646-8812 · (661) 319-7834
Phone(661) 319-7834
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 14, 2022
NPPES CertifiedMarch 14, 2022
✔ NPI 1083362560 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 CA · 95019414
18602 DEMION LN APT C, Huntington Beach, CA 92646
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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

Amanda 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 ID749622298
PECOS Enrollment IDI20240529002321
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 92646 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 Amanda Shaw's NPI number?

The NPI number for Amanda Shaw is 1083362560. It was assigned to this individual provider in the NPPES registry on March 14, 2022.

Where is Amanda Shaw located?

Amanda Shaw practices at 18602 Demion Ln Apt C, Huntington Beach, CA 92646. The listed phone number is (661) 319-7834.

What is Amanda Shaw's specialty?

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

Is Amanda Shaw enrolled in Medicare?

Yes. Amanda 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.

When was this NPI record last updated?

The NPPES record for Amanda Shaw was last updated on March 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.