MS. JESSICA R SHAW AGACNP-BC
NPI 1417969429
Nurse Practitioner - Family in Fort Worth, TX

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
800 W MAGNOLIA AVE, FORT WORTH, TX 76104(817) 759-7000(817) 759-7027 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 5, 2025, Feb 23, 2021, Dec 16, 2020 and 2 more (5 updates tracked since 2016).

About Ms. Jessica R Shaw Agacnp-bc NPPES

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

MS. JESSICA R SHAW AGACNP-BC (NPI 1417969429) is an individual family provider in Fort Worth, Texas, licensed in Texas (AP132391) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Fort Worth, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2016).

NPPES Registry Identity

NPI1417969429
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. JESSICA R SHAWCredential: AGACNP-BC
Location Address800 W MAGNOLIA AVEFort Worth, TX 76104-4611
Mailing Address2705 5th AveFort Worth, TX 76110-3004 · (817) 229-3665
Fax(817) 759-7027
Sole ProprietorNo
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2016
Enumeration DateAugust 12, 2006
Last NPPES UpdateFebruary 5, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
NPI 1417969429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TX · AP132391
Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License 637618 (TX)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License AP132391 (TX)
800 W MAGNOLIA AVE, Fort Worth, TX 76104

Accepted 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

Ms. Jessica R Shaw Agacnp-bc 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 ID5597184648
PECOS Enrollment IDI20200923002027
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
38 services21 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services15 patients

Hospital Affiliations CMS Care Compare

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

Texas Health Harris Methodist Hospital Fort Worth

Acute Care Hospitals · Fort Worth, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450135
Location1301 Pennsylvania AvenueFort Worth, TX 76104 · Tarrant County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76104 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Internal Medicine (Hematology & Oncology)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Nurse Practitioner
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Family)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Surgery
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Obstetrics & Gynecology (Gynecologic Oncology)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Internal Medicine (Hematology)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Nurse Practitioner (Adult Health)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104
Internal Medicine (Hospice and Palliative Medicine)
800 W MAGNOLIA AVE
FORT WORTH, TX 76104

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 Jessica Shaw's NPI number?

The NPI number for Jessica Shaw is 1417969429. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jessica Shaw located?

Jessica Shaw practices at 800 W Magnolia Ave, Fort Worth, TX 76104. The listed phone number is (817) 759-7000.

What is Jessica Shaw's specialty?

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

Is Jessica Shaw enrolled in Medicare?

Yes. Jessica 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 Jessica Shaw accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Jessica 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 Jessica Shaw affiliated with any hospitals?

According to CMS data, Jessica Shaw is affiliated with Texas Health Harris Methodist Hospital Fort Worth.

When was this NPI record last updated?

The NPPES record for Jessica Shaw was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.