DR. ALYSSA ANES SHAW M.D.
NPI 1689636011
Family Medicine in Coeur D Alene, ID
About Dr. Alyssa Anes Shaw M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALYSSA ANES SHAW M.D. (NPI 1689636011) is an individual family medicine provider in Coeur D Alene, Idaho, licensed in Colorado (42993) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Kootenai Health, and maintains a secondary practice location in Coeur D Alene.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Alyssa Anes Shaw M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Alyssa Shaw reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 472 clinicians in this Medicare group
Coeur D Alene, ID 83814
- Reassigned Medicare billing, Idaho enrollment
- 301 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.
Areas of Expertise CMS Part B claims 10
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Kootenai Health
Acute Care Hospitals · Coeur D'alene, IDNorthwest Specialty Hospital
Acute Care Hospitals · Post Falls, IDBonner General Hospital
Critical Access Hospitals · Sandpoint, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83814 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 12
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COEUR D ALENE, ID 83814
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 Alyssa Shaw's NPI number?
The NPI number for Alyssa Shaw is 1689636011. It was assigned to this individual provider in the NPPES registry on April 3, 2006.
Where is Alyssa Shaw located?
Alyssa Shaw practices at 914 W Ironwood Dr Ste 101, Coeur D Alene, ID 83814. The listed phone number is (208) 625-3500.
What is Alyssa Shaw's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Alyssa Shaw enrolled in Medicare?
Yes. Alyssa 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.
Which organizations bill Medicare for Alyssa Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alyssa Shaw reassigns Medicare benefits to 2 organizations: Kootenai Health, Inc. (Coeur D Alene, ID) and Kootenai Health, Inc. (Coeur D Alene, ID). Each 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 Alyssa Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Alyssa Shaw accept?
Health plans from Ambetter Health, Moda Health Plan, Inc., Molina Healthcare, PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska and 1 other insurer list Alyssa 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.
Is Alyssa Shaw affiliated with any hospitals?
According to CMS data, Alyssa Shaw is affiliated with Kootenai Health, Northwest Specialty Hospital and Bonner General Hospital.
When was this NPI record last updated?
The NPPES record for Alyssa Shaw was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Alyssa Anes Shaw, M.D. · NPI 1689636011
Family Medicine physician in Coeur D Alene, Idaho. Individual provider, active in the CMS NPPES registry since April 3, 2006.
## Identity
- **NPI:** 1689636011 (Entity type: Individual)
- **Enumerated:** April 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 42993 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 914 W IRONWOOD DR STE 101, Coeur D Alene, ID 83814
- **Phone:** (208) 625-3500 · **Fax:** (208) 625-3501
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID); Kootenai Health, Inc. (NPI 1174661151, Coeur D Alene, ID) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At Houston, class of 2003
## Record status
- **NPPES last updated:** July 23, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1689636011) · Data from the CMS NPPES public registry.