1. Home
  2. Directory
  3. Michigan
  4. Three Rivers
  5. Nurse Practitioner
  6. NPI Profile

NICOLE LYNN SHAW FNP
NPI 1417627589
Nurse Practitioner - Family in Three Rivers, MI

Active since September 20, 2021PECOS EnrolledAccepts Medicare Assignment
850 S HEALTH PARKWAY, THREE RIVERS, MI 49093(269) 279-5240(269) 273-9060 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Nicole Lynn Shaw Fnp NPPES

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

NICOLE LYNN SHAW FNP (NPI 1417627589) is an individual family provider in Three Rivers, Michigan, licensed in Michigan (4704299077) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS, is affiliated with Three Rivers Health, and maintains a secondary practice location in Three Rivers.

NPPES Registry Identity

NPI1417627589
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE LYNN SHAWCredential: FNP
Location Address850 S HEALTH PARKWAYThree Rivers, MI 49093-8358
Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380
Phone(269) 279-5240
Fax(269) 273-9060
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 20, 2021
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
✔ NPI 1417627589 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
License✔ Licensed in MI · 4704299077
850 S HEALTH PARKWAY, Three Rivers, MI 49093
Open in Google Maps ↗

Secondary Practice Location 1

Location 1721 6th Ave Ste AThree Rivers, MI 49093-8378 · Phone (269) 273-9782

Other Identifiers 1

Medicaid1417627589MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Nicole Lynn Shaw Fnp 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 ID42600777
PECOS Enrollment IDI20211210002148
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.

Hospital Affiliations CMS Care Compare

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

Three Rivers Health

Acute Care Hospitals · Three Rivers, MI
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230015
Location701 S Health ParkwayThree Rivers, MI 49093 · St. Joseph County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49093 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 2

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

THREE RIVERS HEALTH SYSTEM, INC
Clinic/Center (Rural Health)
850 S HEALTH PARKWAY
THREE RIVERS, MI 49093
St. Joseph County (269) 279-5240
ASHLEY MCCLAIN GOSE P.A.
Physician Assistant
850 S HEALTH PARKWAY
THREE RIVERS, MI 49093
St. Joseph County (269) 279-5240

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 Nicole Shaw's NPI number?

The NPI number for Nicole Shaw is 1417627589. It was assigned to this individual provider in the NPPES registry on September 20, 2021.

Where is Nicole Shaw located?

Nicole Shaw practices at 850 S Health Parkway, Three Rivers, MI 49093. The listed phone number is (269) 279-5240.

What is Nicole Shaw's specialty?

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

Is Nicole Shaw enrolled in Medicare?

Yes. Nicole 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 Nicole Shaw accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Nicole 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 Nicole Shaw affiliated with any hospitals?

According to CMS data, Nicole Shaw is affiliated with Three Rivers Health.

When was this NPI record last updated?

The NPPES record for Nicole Shaw was last updated on November 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.