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JENNIFER SHAW ARNP
NPI 1164249132
Nurse Practitioner in Moline, IL

Active since September 23, 2024PECOS Enrolled
545 VALLEY VIEW DR, MOLINE, IL 61265(309) 762-5560 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164249132
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameJENNIFER SHAWCredential: ARNP
Location Address545 VALLEY VIEW DRMoline, IL 61265-6138
Mailing Address545 Valley View DrMoline, IL 61265-6138 · (309) 762-5560
Phone(309) 762-5560
Sole ProprietorNo
Enumeration DateSeptember 23, 2024
NPPES CertifiedSeptember 22, 2024
✔ NPI 1164249132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IA · H181119
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
545 VALLEY VIEW DR, Moline, IL 61265
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Secondary Practice Location 1

Location 15041 Utica Ridge Rd Ste 100Davenport, IA 52807-3480 · Phone (309) 762-5560

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Shaw Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

DR. RAO V MOVVA M.D.
Internal Medicine (Gastroenterology)
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
BRIAN M STRUMPF MD
Anesthesiology
545 VALLEY VIEW DR, VALLEY VIEW ANESTHESIA, LLC
MOLINE, IL 61265
Rock Island County (309) 762-5560
REGIONAL SURGICENTER LTD
Clinical Medical Laboratory
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
MOLINE ANESTHESIA PLLC
Anesthesiology
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
PETER JOHN FECHT CRNA
Nurse Anesthetist, Certified Registered
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
GREG MENDREK CRNA
Nurse Anesthetist, Certified Registered
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
RSC ILLINOIS LLC
Clinic/Center (Ambulatory Surgical)
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560
RESOLVE HEALTHCARE LLC
Clinic/Center (Radiology)
545 VALLEY VIEW DR
MOLINE, IL 61265
Rock Island County (309) 762-5560

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.

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 22 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.