CALLEN SHAW
NPI 1578304101
Counselor - Professional in Brown Deer, WI
About Callen Shaw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CALLEN SHAW (NPI 1578304101) is an individual professional provider in Brown Deer, Wisconsin, licensed in Wisconsin (7899) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Marquette University School Of Dentistry (2024).
NPPES Registry Identity
Specialties & Licenses
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 (PECOS)
Callen Shaw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Callen Shaw's NPI number?
The NPI number for Callen Shaw is 1578304101. It was assigned to this individual provider in the NPPES registry on June 6, 2024.
Where is Callen Shaw located?
Callen Shaw practices at 3900 W Brown Deer Rd Ste 200, Brown Deer, WI 53209. The listed phone number is (414) 540-2170.
What is Callen Shaw's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Callen Shaw enrolled in Medicare?
Yes. Callen Shaw is registered in the Medicare PECOS enrollment system.
What insurance does Callen Shaw accept?
Health plans from Network Health list Callen 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 Callen Shaw was last updated on June 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Callen Shaw · NPI 1578304101
Professional provider in Brown Deer, Wisconsin. Individual provider, active in the CMS NPPES registry since June 6, 2024.
## Identity
- **NPI:** 1578304101 (Entity type: Individual)
- **Enumerated:** June 6, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 7899 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 3900 W BROWN DEER RD STE 200, Brown Deer, WI 53209-1220
- **Phone:** (414) 540-2170
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Marquette University School Of Dentistry, class of 2024
## Record status
- **NPPES last updated:** June 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578304101) · Data from the CMS NPPES public registry.