JENNIFER SHAW ARNP
NPI 1164249132
Nurse Practitioner in Moline, IL
About Jennifer Shaw Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNIFER SHAW ARNP (NPI 1164249132) is an individual nurse practitioner in Moline, Illinois, licensed in Iowa (H181119) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Davenport.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 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)
Jennifer Shaw Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Davenport, IA 52807
- Reassigned Medicare billing, Iowa enrollment
- Medicare enrollment name: Gastrointestinal Clinic Of Quad Cities PC
- 12 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 61265 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.
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 Jennifer Shaw's NPI number?
The NPI number for Jennifer Shaw is 1164249132. It was assigned to this individual provider in the NPPES registry on September 23, 2024.
Where is Jennifer Shaw located?
Jennifer Shaw practices at 545 Valley View Dr, Moline, IL 61265. The listed phone number is (309) 762-5560.
What is Jennifer Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Jennifer Shaw enrolled in Medicare?
Yes. Jennifer Shaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jennifer Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Shaw reassigns Medicare benefits to Gastrointestinal Clinic Of Quad Cities, P.C. (Davenport, IA). The 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 Jennifer Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Shaw accept?
Health plans from Wellmark Health Plan of Iowa, Inc. list Jennifer 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 Jennifer Shaw was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Jennifer Shaw, ARNP · NPI 1164249132
Nurse Practitioner physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since September 23, 2024.
## Identity
- **NPI:** 1164249132 (Entity type: Individual)
- **Enumerated:** September 23, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** H181119 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 545 VALLEY VIEW DR, Moline, IL 61265-6138
- **Phone:** (309) 762-5560
## 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:** Gastrointestinal Clinic Of Quad Cities, P.C. (NPI 1942380605, Davenport, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1164249132) · Data from the CMS NPPES public registry.