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ALICIA C SHAW FNP
NPI 1124563275
Nurse Practitioner - Family in Moberly, MO

Active since December 28, 2016PECOS Enrolled
300 N MORLEY ST STE A-C, MOBERLY, MO 65270(660) 263-1225(660) 263-1613 Get Directions Write a Review

NPPES record last updated: February 1, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 1, 2019, Dec 28, 2016 (2 updates tracked since 2016).

About Alicia C Shaw Fnp NPPES

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

ALICIA C SHAW FNP (NPI 1124563275) is an individual family provider in Moberly, Missouri, licensed in Missouri (2016043696) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124563275
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALICIA C SHAWCredential: FNP
Location Address300 N MORLEY ST STE A-CMoberly, MO 65270-2334
Mailing Address670 Mason Ridge Center Dr, Ste 300Saint Louis, MO 63141-8573 · (660) 263-1225 · Fax (660) 263-1613
Phone(660) 263-1225
Fax(660) 263-1613
Sole ProprietorNo
Enumeration DateDecember 28, 2016
Last NPPES UpdateFebruary 1, 20192 updates tracked since enumeration
✔ NPI 1124563275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MO · 2016043696✔ Licensed in IA · A153239
300 N MORLEY ST STE A-C, Moberly, MO 65270
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alicia C Shaw Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

Medicare enrollment records show Alicia Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pike County Memorial Hospital
51 mi
Rural Health
425 N GALLOWAY RD
Vandalia, MO 63382
  • Reassigned Medicare billing, Missouri enrollment
  • 29 clinicians in this Medicare group
NPI 1033578588 (573) 754-5531
Swope Health Services
97 mi
Federally Qualified Health Center (FQHC)
500 N JESSE JAMES RD
Excelsior Springs, MO 64024
  • Reassigned Medicare billing, Missouri enrollment
  • 175 clinicians in this Medicare group
NPI 1932881380 (816) 923-5800

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65270 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers12 claims22 services$3.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

TAYLOR M WESLEY PHYSICIAN ASSISTANT
Physician Assistant
300 N MORLEY ST STE A-C
MOBERLY, MO 65270
Randolph County (660) 263-1225

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 Alicia Shaw's NPI number?

The NPI number for Alicia Shaw is 1124563275. It was assigned to this individual provider in the NPPES registry on December 28, 2016.

Where is Alicia Shaw located?

Alicia Shaw practices at 300 N Morley St Ste A-C, Moberly, MO 65270. The listed phone number is (660) 263-1225.

What is Alicia Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Alicia Shaw enrolled in Medicare?

Yes. Alicia Shaw is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alicia Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alicia Shaw reassigns Medicare benefits to 2 organizations: Pike County Memorial Hospital (Vandalia, MO) and Swope Health Services (Excelsior Springs, MO). 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 Alicia Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alicia Shaw accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Alicia 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 Alicia Shaw was last updated on February 1, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.