SHADREKA SHAW
NPI 1487383568
Nurse Practitioner - Psychiatric/Mental Health in Tallahassee, FL

Q: What is Shadreka Shaw's NPI number?

The NPI number for Shadreka Shaw is 1487383568. It was assigned to this individual provider in the NPPES registry on June 6, 2022.

Q: What is Shadreka Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Shadreka Shaw was last updated on June 6, 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.

Active since June 06, 2022PECOS Enrolled

1820 MICCOSUKEE COMMONS DR, TALLAHASSEE, FL 32308(850) 765-8120 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Shadreka Shaw NPPES

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

SHADREKA SHAW (NPI 1487383568) is an individual psychiatric/mental health provider in Tallahassee, Florida, licensed in Florida (11020055) and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1487383568

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSHADREKA SHAW

Location Address1820 MICCOSUKEE COMMONS DRTallahassee, FL 32308-5432

Mailing Address893 Arlington CirQuincy, FL 32351-4027 · (850) 321-6189

Phone(850) 765-8120

Sole ProprietorNo

Enumeration DateJune 6, 2022

NPPES CertifiedJune 6, 2022

✔ NPI 1487383568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in FL · 11020055

1820 MICCOSUKEE COMMONS DR, Tallahassee, FL 32308

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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shadreka 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32308 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 5

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

SARAH ELAINE-WINSLOW ALTON APRN-FNP

Nurse Practitioner (Family)