MS. NYKICHIA SHAMON SHAW WHNP-BC
NPI 1588412258
Nurse Practitioner - Women's Health in Raeford, NC

Active since May 08, 2024PECOS EnrolledAccepts Medicare Assignment
300 MEDICAL PAVILION DR STE 250, RAEFORD, NC 28376(910) 904-8035(910) 615-9752 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2026, Mar 2, 2026, Dec 5, 2025 and 2 more (5 updates tracked since 2024).

About Ms. Nykichia Shamon Shaw Whnp-bc NPPES

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

MS. NYKICHIA SHAMON SHAW WHNP-BC (NPI 1588412258) is an individual women's health provider in Raeford, North Carolina, licensed in North Carolina (5019848) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1588412258
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. NYKICHIA SHAMON SHAWCredential: WHNP-BC
Location Address300 MEDICAL PAVILION DR STE 250Raeford, NC 28376-0018
Mailing Address1341 Walter Reed RdFayetteville, NC 28304-4415 · (910) 615-3500 · Fax (910) 615-3560
Fax(910) 615-9752
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 8, 2024
Last NPPES UpdateMay 12, 20265 updates tracked since enumeration
NPPES CertifiedMay 12, 2026
NPI 1588412258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License Licensed in NC · 5019848
300 MEDICAL PAVILION DR STE 250, Raeford, NC 28376

Secondary Practice Locations 3

Location 16387 Ramsey St Unit 240Fayetteville, NC 28311-9442 · Phone (910) 615-3999
Location 2PO Box 1829Fayetteville, NC 28302-1829 · Phone (910) 433-3600
Location 31341 Walter Reed RdFayetteville, NC 28304-4415 · Phone (910) 615-3500 · Fax (910) 615-3560

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. Nykichia Shamon Shaw Whnp-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 ID8729599113
PECOS Enrollment IDI20250613000012
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 28376 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

Clinic/Center
300 MEDICAL PAVILION DR STE 250
RAEFORD, NC 28376

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 Nykichia Shaw's NPI number?

The NPI number for Nykichia Shaw is 1588412258. It was assigned to this individual provider in the NPPES registry on May 8, 2024.

Where is Nykichia Shaw located?

Nykichia Shaw practices at 300 Medical Pavilion Dr Ste 250, Raeford, NC 28376. The listed phone number is (910) 904-8035.

What is Nykichia Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Nykichia Shaw enrolled in Medicare?

Yes. Nykichia 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 Nykichia Shaw accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Nykichia 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 Nykichia Shaw was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.