DENISE SHAW NURSE PRACTITIONER
NPI 1124720560
Nurse Practitioner - Family in Lafayette, IN
About Denise Shaw Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE SHAW NURSE PRACTITIONER (NPI 1124720560) is an individual family provider in Lafayette, Indiana, licensed in Indiana (28148258A) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Denise Shaw Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Denise Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lafayette, IN 47904
- Reassigned Medicare billing, Indiana enrollment
- 53 clinicians in this Medicare group
West Lafayette, IN 47906
- Reassigned Medicare billing, Indiana enrollment
- 112 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47904 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LAFAYETTE, IN 47904
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 Denise Shaw's NPI number?
The NPI number for Denise Shaw is 1124720560. It was assigned to this individual provider in the NPPES registry on March 20, 2023.
Where is Denise Shaw located?
Denise Shaw practices at 1716 Hartford St, Lafayette, IN 47904. The listed phone number is (765) 742-1567.
What is Denise Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Denise Shaw enrolled in Medicare?
Yes. Denise Shaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Denise Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Shaw reassigns Medicare benefits to 2 organizations: Riggs Community Health Center Inc (Lafayette, IN) and State Of Indiana Auditor Of State (West Lafayette, IN). 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 Denise Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Denise Shaw was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Denise Shaw, NURSE PRACTITIONER · NPI 1124720560
Family physician in Lafayette, Indiana. Individual provider, active in the CMS NPPES registry since March 20, 2023.
## Identity
- **NPI:** 1124720560 (Entity type: Individual)
- **Enumerated:** March 20, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28148258A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1716 HARTFORD ST, Lafayette, IN 47904-2173
- **Phone:** (765) 742-1567
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Riggs Community Health Center Inc (NPI 1386660900, Lafayette, IN); State Of Indiana Auditor Of State (NPI 1194778001, West Lafayette, IN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1124720560) · Data from the CMS NPPES public registry.