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BRENDA J SHAW PA
NPI 1679642037
Physician Assistant in Idaho Falls, ID

Active since November 07, 2006PECOS Enrolled
81.78/100
CMS Quality Rating
1660 JOHN ADAMS PKWY, IDAHO FALLS, ID 83401(208) 523-8844(208) 529-8684 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brenda J Shaw Pa NPPES

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

BRENDA J SHAW PA (NPI 1679642037) is an individual physician assistant in Idaho Falls, Idaho, licensed in Idaho (PA587) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679642037
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameBRENDA J SHAWCredential: PA
Location Address1660 JOHN ADAMS PKWYIdaho Falls, ID 83401-4360
Mailing Address1660 John Adams PkwyIdaho Falls, ID 83401-4360 · (208) 523-8844 · Fax (208) 529-8684
Phone(208) 523-8844
Fax(208) 529-8684
Sole ProprietorNo
Enumeration DateNovember 7, 2006
Last NPPES UpdateDecember 15, 2009
✔ NPI 1679642037 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 ID · PA587
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.
1660 JOHN ADAMS PKWY, Idaho Falls, ID 83401
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Other Identifiers 3

Medicare PIN1667325ID
Medicare UPINQ58778
Medicaid807324700ID

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brenda J Shaw Pa 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 83401 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.65
Improvement Activities40
Cost42.41

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
61%130 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
61%235 patients3/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
30%50 patients2/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 6

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

DR. CRAIG Z. HALL M.D.
Obstetrics & Gynecology
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 523-8844
LIFE SPRING WOMEN'S CLINIC, P.A.
Physician Assistant
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 523-8844
MS. STEPHANIE MORGAN PA
Physician Assistant (Medical)
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 523-8844
BRYNLEE MCKAGUE MSN, RN
Registered Nurse (General Practice)
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 432-1976
JENNA SUE RANSBOTTOM CCMA
Student in an Organized Health Care Education/Training Program
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 432-1976
LIFE SPRING WOMENS CLINIC, P.A.
Obstetrics & Gynecology
1660 JOHN ADAMS PKWY
IDAHO FALLS, ID 83401
Bonneville County (208) 523-8844

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 Brenda Shaw's NPI number?

The NPI number for Brenda Shaw is 1679642037. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Brenda Shaw located?

Brenda Shaw practices at 1660 John Adams Pkwy, Idaho Falls, ID 83401. The listed phone number is (208) 523-8844.

What is Brenda Shaw's specialty?

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

Is Brenda Shaw enrolled in Medicare?

Yes. Brenda Shaw is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Brenda Shaw was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.