DEBRA LYNN SHAW NP
NPI 1154494029
Nurse Practitioner - Family in Edina, MN

Active since November 16, 2006PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
3400 WEST 66TH STREET, SUITE 290, EDINA, MN 55435(952) 914-1882(952) 914-1727 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Debra Lynn Shaw Np NPPES

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

DEBRA LYNN SHAW NP (NPI 1154494029) is an individual family provider in Edina, Minnesota, licensed in Minnesota (R144120-2) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1154494029
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA LYNN SHAWCredential: NP
Location Address3400 WEST 66TH STREET, SUITE 290Edina, MN 55435
Mailing Address10973 233rd Ave NwElk River, MN 55330
Fax(952) 914-1727
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 16, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1154494029 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
License✔ Licensed in MN · R144120-2
3400 WEST 66TH STREET, Edina, MN 55435

Other Identifiers 2

Medicaid6409270-00MN
Other500004309MN · Medicare

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

Debra Lynn Shaw Np 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 ID3971520727
PECOS Enrollment IDI20051031000812
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

3

Medicare enrollment records show Debra Shaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
6525 FRANCE AVE S STE 205
Edina, MN 55435
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,733 clinicians in this Medicare group
Internal Medicine
1700 UNIVERSITY AVE W, 6TH FLOOR WEST
Saint Paul, MN 55104
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,361 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
707 14TH ST
Baraboo, WI 53913
  • Reassigned Medicare billing, Wisconsin enrollment
  • 35 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 55435 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims 2

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers16 claims16 services$61.56 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$29.57 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.

Nurse Practitioner (Primary Care)
3400 WEST 66TH STREET, SUITE 290
EDINA, MN 55435

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 Debra Shaw's NPI number?

The NPI number for Debra Shaw is 1154494029. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Debra Shaw located?

Debra Shaw practices at 3400 West 66th Street Suite 290, Edina, MN 55435. The listed phone number is (952) 914-1882.

What is Debra Shaw's specialty?

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

Is Debra Shaw enrolled in Medicare?

Yes. Debra 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 Debra Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Shaw reassigns Medicare benefits to 3 organizations: Allina Health System (Edina, MN), Healtheast Medical Research Institute (Saint Paul, MN) and Ssm Health Care Of Wisconsin Inc (Baraboo, WI). 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 Debra 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 Debra Shaw was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.