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TRENT E SHAW PA-C
NPI 1366488926
Physician Assistant - Medical in Rexburg, ID

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
72 E MAIN ST, REXBURG, ID 83440(208) 359-1770(208) 359-1780 Get Directions Write a Review

NPPES record last updated: September 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trent E Shaw Pa-c NPPES

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

TRENT E SHAW PA-C (NPI 1366488926) is an individual medical provider in Rexburg, Idaho, licensed in Idaho (PA-308) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1366488926
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameTRENT E SHAWCredential: PA-C
Location Address72 E MAIN STRexburg, ID 83440-1926
Mailing Address72 E Main StRexburg, ID 83440-1926 · (208) 359-1770 · Fax (208) 359-1780
Phone(208) 359-1770
Fax(208) 359-1780
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 30, 2011
✔ NPI 1366488926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in ID · PA-308
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA-308 (ID)
72 E MAIN ST, Rexburg, ID 83440
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Other Identifiers 3

Medicare ID-Type Unspecified1666957ID
Medicaid806887500ID
Medicare UPINP20734ID

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Trent E Shaw Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395716948
PECOS Enrollment IDI20040805000569
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 4

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

COMMUNITY CARE PLLC
Family Medicine
72 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-1770
MOUNTAIN VIEW HOSPITAL LLC
Family Medicine
72 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-1770
COMMUNITY CARE REXBURG LLC
Clinic/Center
72 E MAIN ST
REXBURG, ID 83440
Madison County (208) 525-8448
DAVID F DANIELS D.O.
Family Medicine
72 E MAIN ST
REXBURG, ID 83440
Madison County (208) 359-1770

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 Trent Shaw's NPI number?

The NPI number for Trent Shaw is 1366488926. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Trent Shaw located?

Trent Shaw practices at 72 E Main St, Rexburg, ID 83440. The listed phone number is (208) 359-1770.

What is Trent Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Trent Shaw enrolled in Medicare?

Yes. Trent Shaw is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Trent Shaw accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan, Select Health and University of Utah Health Plans list Trent 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.

Is Trent Shaw affiliated with any hospitals?

According to CMS data, Trent Shaw is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Trent Shaw was last updated on September 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.