ANGELA L SHAW PNP
NPI 1154562049
Nurse Practitioner - Pediatrics in Prairieville, LA
About Angela L Shaw Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANGELA L SHAW PNP (NPI 1154562049) is an individual pediatrics provider in Prairieville, Louisiana, licensed in Louisiana (AP05787) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Angela L Shaw Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Angela Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Baton Rouge, LA 70817
- Reassigned Medicare billing, Louisiana enrollment
- 163 clinicians in this Medicare group
Baton Rouge, LA 70808
- Reassigned Medicare billing, Louisiana enrollment
- 873 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 70769 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRAIRIEVILLE, LA 70769
PRAIRIEVILLE, LA 70769
PRAIRIEVILLE, LA 70769
PRAIRIEVILLE, LA 70769
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 Angela Shaw's NPI number?
The NPI number for Angela Shaw is 1154562049. It was assigned to this individual provider in the NPPES registry on March 23, 2009.
Where is Angela Shaw located?
Angela Shaw practices at 17609 Old Jefferson Hwy Ste A, Prairieville, LA 70769. The listed phone number is (225) 647-8511.
What is Angela Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Angela Shaw enrolled in Medicare?
Yes. Angela Shaw is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Angela Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Angela Shaw reassigns Medicare benefits to 2 organizations: Convenient Care LLC (Baton Rouge, LA) and Our Lady Of The Lake Physician Group LLC (Baton Rouge, LA). 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 Angela Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Angela Shaw accept?
Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of Louisiana, HMO Louisiana and UnitedHealthcare list Angela 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 Angela Shaw was last updated on January 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.
# Angela L Shaw, PNP · NPI 1154562049
Pediatrics physician in Prairieville, Louisiana. Individual provider, active in the CMS NPPES registry since March 23, 2009.
## Identity
- **NPI:** 1154562049 (Entity type: Individual)
- **Enumerated:** March 23, 2009
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP05787 (Louisiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 17609 OLD JEFFERSON HWY STE A, Prairieville, LA 70769-3980
- **Phone:** (225) 647-8511 · **Fax:** (225) 743-2085
## 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): Convenient Care LLC (NPI 1518250356, Baton Rouge, LA); Our Lady Of The Lake Physician Group LLC (NPI 1033494943, Baton Rouge, LA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 21, 2026
- **Other identifiers:** Medicaid 1884910 (LA)
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Source: [NPI Profile](https://npiprofile.com/npi/1154562049) · Data from the CMS NPPES public registry.