KIMBERLY SHAW FNP
NPI 1265104095
Nurse Practitioner - Family in Flowood, MS

Q: What is Kimberly Shaw's NPI number?

The NPI number for Kimberly Shaw is 1265104095. It was assigned to this individual provider in the NPPES registry on September 30, 2021. The provider is also known as Kimberly Moore.

Q: What is Kimberly Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Shaw was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 30, 2021PECOS Enrolled

232 MARKET ST, FLOWOOD, MS 39232(866) 849-0692 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 21, 2026, Jan 16, 2026, Jan 9, 2026 and 9 more (12 updates tracked since 2021).

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About Kimberly Shaw Fnp NPPES

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

KIMBERLY SHAW FNP (NPI 1265104095) is an individual family provider in Flowood, Mississippi, licensed in Mississippi (904933) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Ridgeland.

NPPES Registry Identity

NPI1265104095

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY SHAWCredential: FNP

Location Address232 MARKET STFlowood, MS 39232-3339

Mailing AddressPo Box 211699Eagan, MN 55121-3699 · (866) 849-0692

Phone(866) 849-0692

Sole ProprietorNo

Enumeration DateSeptember 30, 2021

Last NPPES UpdateMay 21, 202612 updates tracked since enumeration

NPPES CertifiedMay 21, 2026

✔ NPI 1265104095 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Licenses✔ Licensed in MS · 904933✔ Licensed in MO · 2024046003✔ Licensed in FL · APRN11036441✔ Licensed in HI · APRN-4940✔ Licensed in NC · 5021135✔ Licensed in IN · 71017357A✔ Licensed in NE · 116558✔ Licensed in PA · SP033294✔ Licensed in GA · GAA-NP005163✔ Licensed in AR · 232090✔ Licensed in TX · 1196432✔ Licensed in OH · 0037972✔ Licensed in NM · 86157✔ Licensed in TN · 37681

232 MARKET ST, Flowood, MS 39232

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Other Names 1

Former Name (1)Kimberly Moore

Secondary Practice Location 1

Location 11612 E. County Line RoadRidgeland, MS 39157 · Phone (601) 429-1160

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Shaw Fnp 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.

Areas of Expertise CMS Part B claims 3

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.

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

58 services29 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

36 services36 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 39232 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

$80.50 typical visit price

range $51.65 – $159.18

Typical copayment $20.12 (range $12.91 – $39.79)

Most-billed visit code 99203

Established Patient

$92.20 typical visit price

range $16.15 – $129.61

Typical copayment $23.05 (range $4.03 – $32.40)

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.

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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.

CURANA HEALTH OF MISSISSIPPI LLC

Nurse Practitioner (Family)

232 MARKET ST
FLOWOOD, MS 39232

Rankin County (337) 991-9276

LIFE ENHANCEMENT SERVICES OF MS, LLC

Community/Behavioral Health

232 MARKET ST
FLOWOOD, MS 39232

Rankin County (704) 342-9595

MRS. LILLIAN LEIGH SHANK FNP-BC

Nurse Practitioner (Family)

232 MARKET ST
FLOWOOD, MS 39232

Rankin County (866) 849-0692

A LOVING TOUCH SENIOR CARE SERVICES, LLC

Home Health

232 MARKET ST, BLDG K, STE 257
FLOWOOD, MS 39232

Rankin County (601) 914-7273

PEDIATRIC PATHWAYS NURSING SERVICES, LLC

Home Health

232 MARKET ST, STE K
FLOWOOD, MS 39232

Rankin County (601) 218-5269

AFFORDABLE TRANSPORTATION SERVICE LLC

Secured Medical Transport (VAN)

232 MARKET ST
FLOWOOD, MS 39232

Rankin County (769) 216-2025

CH MSSP SERVICES MS LLC

Internal Medicine

232 MARKET ST
FLOWOOD, MS 39232

Rankin County (337) 408-0797

REM EAST LLC

Community/Behavioral Health

232 MARKET ST, SUITE 200
FLOWOOD, MS 39232

Rankin County (863) 255-0892

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 Kimberly Shaw's NPI number?

The NPI number for Kimberly Shaw is 1265104095. It was assigned to this individual provider in the NPPES registry on September 30, 2021. The provider is also known as Kimberly Moore.

Where is Kimberly Shaw located?

Kimberly Shaw practices at 232 Market St, Flowood, MS 39232. The listed phone number is (866) 849-0692.

What is Kimberly Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kimberly Shaw enrolled in Medicare?

Yes. Kimberly Shaw is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Shaw accept?

Health plans from Molina Healthcare list Kimberly 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 Kimberly Shaw was last updated on May 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.