ELLEN A SHAW PNP
NPI 1497792667
Nurse Practitioner - Pediatrics in New York, NY
About Ellen A Shaw Pnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLEN A SHAW PNP (NPI 1497792667) is an individual pediatrics provider in New York, New York, licensed in New York (F3810081) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ellen A Shaw Pnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Ellen Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10032
- Reassigned Medicare billing, New York enrollment
- 3,922 clinicians in this Medicare group
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 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
NEW YORK, NY 10032
NEW YORK, NY 10032
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 Ellen Shaw's NPI number?
The NPI number for Ellen Shaw is 1497792667. It was assigned to this individual provider in the NPPES registry on May 31, 2006.
Where is Ellen Shaw located?
Ellen Shaw practices at 3959 Broadway Columbia Unversity Department Pediatric, New York, NY 10032. The listed phone number is (212) 304-7250.
What is Ellen Shaw's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Ellen Shaw enrolled in Medicare?
Yes. Ellen Shaw is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Ellen Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ellen Shaw reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). The 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 Ellen Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Ellen Shaw was last updated on July 21, 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.
# Ellen A Shaw, PNP · NPI 1497792667
Pediatrics physician in New York, New York. Individual provider, active in the CMS NPPES registry since May 31, 2006.
## Identity
- **NPI:** 1497792667 (Entity type: Individual)
- **Enumerated:** May 31, 2006
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** F3810081 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3959 BROADWAY, COLUMBIA UNVERSITY DEPARTMENT PEDIATRIC, New York, NY 10032-1559
- **Phone:** (212) 304-7250 · **Fax:** (212) 544-1974
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Trustees Of Columbia University In The City Of New York (NPI 1477068971, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2022
- **Other identifiers:** Medicaid 0105678 (NJ); Medicaid 02752129 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1497792667) · Data from the CMS NPPES public registry.