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ALEXANDRIA SHAW FNP-C
NPI 1396254561
Nurse Practitioner - Family in Senatobia, MS

Active since September 20, 2017PECOS Enrolled
103 HALLS CV, SENATOBIA, MS 38668(662) 562-9003 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2023, Sep 20, 2017 (2 updates tracked since 2017).

About Alexandria Shaw Fnp-c NPPES

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

ALEXANDRIA SHAW FNP-C (NPI 1396254561) is an individual family provider in Senatobia, Mississippi, licensed in Mississippi (902097) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396254561
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALEXANDRIA SHAWCredential: FNP-C
Location Address103 HALLS CVSenatobia, MS 38668-6620
Mailing Address103 Halls CvSenatobia, MS 38668-6620 · (662) 562-9003
Phone(662) 562-9003
Sole ProprietorNo
Enumeration DateSeptember 20, 2017
Last NPPES UpdateJune 14, 20232 updates tracked since enumeration
NPPES CertifiedJune 14, 2023
✔ NPI 1396254561 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 · 902097✔ Licensed in TN · 22874
103 HALLS CV, Senatobia, MS 38668
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1930 Magnolia Hills CvHernando, MS 38632-6031 · Phone (662) 449-9230
Location 23674 Goodman Rd ESouthaven, MS 38672-6402 · Phone (662) 890-7747

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc. 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)

Alexandria Shaw Fnp-c 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

3

Medicare enrollment records show Alexandria Shaw reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Convenient Care Clinic, LLC
37 mi
Family
3040 GOODMAN RD WEST
Horn Lake, MS 38637
  • Reassigned Medicare billing, Mississippi enrollment
  • 43 clinicians in this Medicare group
NPI 1851490841 (662) 578-2030
Fast Pace Medical Clinic PLLC
194 mi
Family Medicine
3813 OLD PORT ROYAL RD N
Spring Hill, TN 37174
  • Reassigned Medicare billing, Tennessee enrollment
  • 985 clinicians in this Medicare group
NPI 1134452865 (931) 487-1006
Crossroads Urgent Care PLLC
224 mi
Family Medicine
2445 MEMORIAL BLVD
Murfreesboro, TN 37129
  • Reassigned Medicare billing, Tennessee enrollment
  • 310 clinicians in this Medicare group
NPI 1366644361 (615) 864-8713

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 38668 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.

Other Providers at the Same Location NPPES 7

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

JARROD MICHAEL HIX PA-C
Physician Assistant
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
ALL CHILDREN'S CLINIC,PC
Pediatrics
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
JESSICA DUPREE CPNP
Nurse Practitioner (Pediatrics)
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
KENNETH BRYAN GAUTIER M.D.
Pediatrics (Sports Medicine)
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
DR. SATISH C VERMA M.D.
Pediatrics
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
TONYA DIXON NP
Nurse Practitioner (Family)
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003
MRS. TAMMY EILEEN CHARLTON PRICE FNP
Nurse Practitioner
103 HALLS CV
SENATOBIA, MS 38668
Tate County (662) 562-9003

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 Alexandria Shaw's NPI number?

The NPI number for Alexandria Shaw is 1396254561. It was assigned to this individual provider in the NPPES registry on September 20, 2017.

Where is Alexandria Shaw located?

Alexandria Shaw practices at 103 Halls Cv, Senatobia, MS 38668. The listed phone number is (662) 562-9003.

What is Alexandria Shaw's specialty?

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

Is Alexandria Shaw enrolled in Medicare?

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

Which organizations bill Medicare for Alexandria Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alexandria Shaw reassigns Medicare benefits to 3 organizations: Convenient Care Clinic, LLC (Horn Lake, MS), Fast Pace Medical Clinic PLLC (Spring Hill, TN) and Crossroads Urgent Care PLLC (Murfreesboro, TN). 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 Alexandria Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alexandria Shaw accept?

Health plans from Cigna Healthcare, Molina Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Alexandria 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 Alexandria Shaw was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.