JAYDE MARIE SHAW MSN, APRN, PMHNP
NPI 1215891684
Nurse Practitioner - Psychiatric/Mental Health in Lubbock, TX
About Jayde Marie Shaw Msn, Aprn, Pmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JAYDE MARIE SHAW MSN, APRN, PMHNP (NPI 1215891684) is an individual psychiatric/mental health provider in Lubbock, Texas, licensed in Texas (1218584) and active in the NPI registry since December 2025. She has opted out of Medicare through June 18, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Jayde Marie Shaw Msn, Aprn, Pmhnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 18, 2026 through June 18, 2028.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LUBBOCK, TX 79416
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 Jayde Shaw's NPI number?
The NPI number for Jayde Shaw is 1215891684. It was assigned to this individual provider in the NPPES registry on December 10, 2025.
Where is Jayde Shaw located?
Jayde Shaw practices at 4401 6th St Ste B, Lubbock, TX 79416. The listed phone number is (806) 853-5314.
What is Jayde Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jayde Shaw enrolled in Medicare?
No. Jayde Shaw has opted out of Medicare through June 18, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Jayde Shaw was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Jayde Marie Shaw, MSN, APRN, PMHNP · NPI 1215891684
Psychiatric/Mental Health physician in Lubbock, Texas. Individual provider, active in the CMS NPPES registry since December 10, 2025.
## Identity
- **NPI:** 1215891684 (Entity type: Individual)
- **Enumerated:** December 10, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 1218584 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4401 6TH ST STE B, Lubbock, TX 79416-4700
- **Phone:** (806) 853-5314
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 18, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** December 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1215891684) · Data from the CMS NPPES public registry.