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STACEY A SHAW
NPI 1356973762
Nurse Practitioner - Pediatrics in Chicago, IL

Active since February 04, 2020PECOS Enrolled
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 24, 2022, May 19, 2022, Apr 18, 2022 and 2 more (5 updates tracked since 2020).

About Stacey A Shaw NPPES

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

STACEY A SHAW (NPI 1356973762) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209019812) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356973762
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSTACEY A SHAW
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr, Suite 300Burr Ridge, IL 60527-5919
Phone(888) 824-0200
Sole ProprietorNo
Enumeration DateFebruary 4, 2020
Last NPPES UpdateOctober 24, 20225 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2020
✔ NPI 1356973762 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209019812
5841 S MARYLAND AVE, Chicago, IL 60637
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacey A Shaw 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 Reassignment

Medicare enrollment records show Stacey Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The University Of Chicago Medical Center
Same address
General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 635 clinicians in this Medicare group
NPI 1033218128 (773) 702-1530

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 60637 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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. DON MARTINEZ M.D.
Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 926-8318
ALEXANDRA DUMITRESCU
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
PELEG HOROWITZ
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
SANDEEP GURBUXANI
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200
DR. NIREN GANDRA M.D.
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-0240
ALLIE DAKROUB MD MS
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
SCOTT VASHER MD
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. NATHAN CHARLES NOWALK M.D.
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Cook County (888) 824-0200

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 Stacey Shaw's NPI number?

The NPI number for Stacey Shaw is 1356973762. It was assigned to this individual provider in the NPPES registry on February 4, 2020.

Where is Stacey Shaw located?

Stacey Shaw practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Stacey Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Stacey Shaw enrolled in Medicare?

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

Which organization bills Medicare for Stacey Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacey Shaw reassigns Medicare benefits to The University Of Chicago Medical Center (Chicago, IL). 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 Stacey Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacey Shaw accept?

Health plans from Oscar Health list Stacey 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 Stacey Shaw was last updated on October 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.