MELINDA M SHAW PA
NPI 1619914942
Physician Assistant in Syracuse, NY

Q: What is Melinda Shaw's NPI number?

The NPI number for Melinda Shaw is 1619914942. It was assigned to this individual provider in the NPPES registry on June 2, 2006. The provider is also known as Melinda Shaw-Lund PA.

Q: What is Melinda Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Melinda Shaw was last updated on March 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 02, 2006PECOS EnrolledAccepts Medicare Assignment

739 IRVING AVE STE 450, SYRACUSE, NY 13210(315) 470-7364 Get Directions Write a Review

NPPES record last updated: March 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Mar 4, 2022, Mar 15, 2021 and 1 more (4 updates tracked since 2020).

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About Melinda M Shaw Pa NPPES

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

MELINDA M SHAW PA (NPI 1619914942) is an individual physician assistant in Syracuse, New York, licensed in New York (009177) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1619914942

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMELINDA M SHAWCredential: PA

Location Address739 IRVING AVE STE 450Syracuse, NY 13210-1663

Mailing Address110 W 6th StOswego, NY 13126-2507 · (315) 349-5511 · Fax (315) 349-5921

Phone(315) 470-7364

Sole ProprietorNo

Medical School CMSOtherGraduated 2002

Enumeration DateJune 2, 2006

Last NPPES UpdateMarch 29, 20234 updates tracked since enumeration

NPPES CertifiedMarch 29, 2023

✔ NPI 1619914942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NY · 009177

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

739 IRVING AVE STE 450, Syracuse, NY 13210

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Other Names 1

Other Name (5)Melinda Shaw-lund Pa

Secondary Practice Locations 2

Location 1750 E Adams StSyracuse, NY 13210-2306 · Phone (315) 464-1800

Location 2140 W 6th St Ste Ll30Oswego, NY 13126-2564 · Phone (315) 349-5511

Other Identifiers 1

Medicaid02494613NY

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

Melinda M Shaw Pa 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 ID5395892228

PECOS Enrollment IDI20090413000164

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

20 services18 patients

Hospital Affiliations CMS Care Compare

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.57 typical visit price

range $17.54 – $136.14

Typical copayment $17.14 (range $4.38 – $34.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 11

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

KRISTINA MARIE BRECKENRIDGE PA

Physician Assistant