1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Psychiatry Neurology
  6. NPI Profile

DR. SHANIQUE SHERITA SHAW AMPIAH MD
NPI 1295152510
Psychiatry & Neurology - Child & Adolescent Psychiatry in Jacksonville, FL

Active since March 25, 2014PECOS Enrolled
13241 BARTRAM PARK BLVD UNIT 117, JACKSONVILLE, FL 32258(904) 203-4700(844) 329-0848 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 12, 2026, Jan 1, 2026, Mar 7, 2025 and 9 more (12 updates tracked since 2018).

About Dr. Shanique Sherita Shaw Ampiah Md NPPES

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

DR. SHANIQUE SHERITA SHAW AMPIAH MD (NPI 1295152510) is an individual child & adolescent psychiatry provider in Jacksonville, Florida, licensed in Florida (ME141234) and active in the NPI registry since March 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295152510
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameDR. SHANIQUE SHERITA SHAW AMPIAHCredential: MD
Location Address13241 BARTRAM PARK BLVD UNIT 117Jacksonville, FL 32258-5232
Mailing Address13241 Bartram Park Blvd Unit 117Jacksonville, FL 32258-5232 · (904) 203-4700 · Fax (844) 329-0848
Phone(904) 203-4700
Fax(844) 329-0848
Sole ProprietorNo
Enumeration DateMarch 25, 2014
Last NPPES UpdateMay 12, 202612 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
✔ NPI 1295152510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in FL · ME141234✔ Licensed in LA · 307164
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License ME141234 (FL), 307164 (LA)
13241 BARTRAM PARK BLVD UNIT 117, Jacksonville, FL 32258
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Shanique Sherita Shaw Ampiah Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shanique Ampiah reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Care Of West Virginia, Inc.
616 mi
Federally Qualified Health Center (FQHC)
133 STAUNTON DR
Weston, WV 26452
  • Reassigned Medicare billing, West Virginia enrollment
  • 28 clinicians in this Medicare group
NPI 1275271611 (304) 473-5600
Community Care Of West Virginia, Inc.
637 mi
Federally Qualified Health Center (FQHC)
100 MARKET PL
Bridgeport, WV 26330
  • Reassigned Medicare billing, West Virginia enrollment
  • Also billed through NPI 1619348844 (West Virginia)
  • 48 clinicians in this Medicare group
NPI 1063808418 (304) 848-5770

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PARAMOUNT WELLNESS COLLABORATIVE, INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
13241 BARTRAM PARK BLVD UNIT 117
JACKSONVILLE, FL 32258
Duval County (904) 203-4700

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 Shanique Ampiah's NPI number?

The NPI number for Shanique Ampiah is 1295152510. It was assigned to this individual provider in the NPPES registry on March 25, 2014.

Where is Shanique Ampiah located?

Shanique Ampiah practices at 13241 Bartram Park Blvd Unit 117, Jacksonville, FL 32258. The listed phone number is (904) 203-4700.

What is Shanique Ampiah's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Shanique Ampiah enrolled in Medicare?

Yes. Shanique Ampiah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shanique Ampiah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shanique Ampiah reassigns Medicare benefits to 2 organizations: Community Care Of West Virginia, Inc. (Weston, WV) and Community Care Of West Virginia, Inc. (Bridgeport, WV). 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 Shanique Ampiah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shanique Ampiah accept?

Health plans from CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), MedMutual and Oscar Health Maintenance Organization of Florida and 1 other insurer list Shanique Ampiah 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 Shanique Ampiah was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.