TOMMORA A SHAW ARNP
NPI 1154558765
Nurse Practitioner - Adult Health in Council Bluffs, IA

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
800 MERCY DR, COUNCIL BLUFFS, IA 51503(712) 328-5490(712) 325-2499 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 29, 2026, May 28, 2019 (2 updates tracked since 2019).

About Tommora A Shaw Arnp NPPES

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

TOMMORA A SHAW ARNP (NPI 1154558765) is an individual adult health provider in Council Bluffs, Iowa, licensed in Nebraska (111050) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1154558765
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameTOMMORA A SHAWCredential: ARNP
Location Address800 MERCY DRCouncil Bluffs, IA 51503-3128
Mailing Address7261 Mercy RdOmaha, NE 68124-2311 · (402) 398-6255 · Fax (402) 829-8513
Fax(712) 325-2499
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
✔ NPI 1154558765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NE · 111050
Also ListedNurse PractitionerTaxonomy 363L00000X · License 122238 (IA)
800 MERCY DR, Council Bluffs, IA 51503

Accepted 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

Tommora A Shaw Arnp 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 ID6800942830
PECOS Enrollment IDI20100312000515
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 Tommora Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
800 MERCY DR
Council Bluffs, IA 51503
  • Reassigned Medicare billing, Iowa and Nebraska enrollments
  • Also billed through NPI 1548287907 (Nebraska)
  • 482 clinicians in this Medicare group
Long Term Care Hospital
1870 SOUTH 75TH STREET
Omaha, NE 68124
  • Reassigned Medicare billing, Nebraska enrollment
  • 14 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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
133 services24 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51503 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

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.

Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Physician Assistant
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Hospitalist
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Emergency Medicine
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Internal Medicine (Gastroenterology)
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Nurse Practitioner (Acute Care)
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Nurse Practitioner
800 MERCY DR
COUNCIL BLUFFS, IA 51503
Obstetrics & Gynecology
800 MERCY DR, SUITE 210
COUNCIL BLUFFS, IA 51503

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 Tommora Shaw's NPI number?

The NPI number for Tommora Shaw is 1154558765. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Tommora Shaw located?

Tommora Shaw practices at 800 Mercy Dr, Council Bluffs, IA 51503. The listed phone number is (712) 328-5490.

What is Tommora Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Tommora Shaw enrolled in Medicare?

Yes. Tommora 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 Tommora Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tommora Shaw reassigns Medicare benefits to 2 organizations: Alegent Creighton Clinic (Council Bluffs, IA) and Select Specialty Hospital Omaha Inc (Omaha, NE). 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 Tommora Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tommora Shaw accept?

Health plans from Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Tommora 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 Tommora Shaw was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.