KIMBERLY ANN SHAW PA-C
NPI 1700865904
Physician Assistant in Le Claire, IA

Active since January 16, 2006PECOS Enrolled
200 CODY RD S, LE CLAIRE, IA 52753(563) 289-2273(563) 289-1605 Get Directions Write a Review

NPPES record last updated: April 23, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kimberly Ann Shaw Pa-c NPPES

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

KIMBERLY ANN SHAW PA-C (NPI 1700865904) is an individual physician assistant in Le Claire, Iowa, licensed in Georgia (005650) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700865904
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY ANN SHAWCredential: PA-C
Location Address200 CODY RD SLe Claire, IA 52753-9579
Mailing Address11532 61st AveBlue Grass, IA 52726-9660 · (563) 381-5041
Fax(563) 289-1605
Sole ProprietorNo
Enumeration DateJanuary 16, 2006
Last NPPES UpdateApril 23, 2012
NPI 1700865904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in GA · 005650
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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 001653 (IA)
200 CODY RD S, Le Claire, IA 52753

Other Identifiers 2

Medicare UPINP60008IA
Medicare ID-Type UnspecifiedI16141IA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kimberly Ann Shaw Pa-c 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 52753 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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.

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 Kimberly Shaw's NPI number?

The NPI number for Kimberly Shaw is 1700865904. It was assigned to this individual provider in the NPPES registry on January 16, 2006.

Where is Kimberly Shaw located?

Kimberly Shaw practices at 200 Cody Rd S, Le Claire, IA 52753. The listed phone number is (563) 289-2273.

What is Kimberly Shaw's specialty?

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

Is Kimberly Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Shaw was last updated on April 23, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.