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MRS. JUDY KELLY SHAW MS, ANP-C
NPI 1720172422
Nurse Practitioner - Adult Health in Albany, NY

Active since October 03, 2006PECOS Enrolled
113 HOLLAND AVE, MC 111D, VAMC, ALBANY, NY 12208(518) 626-6421(518) 626-6564 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Judy Kelly Shaw Ms, Anp-c NPPES

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

MRS. JUDY KELLY SHAW MS, ANP-C (NPI 1720172422) is an individual adult health provider in Albany, New York, licensed in New York (F331353-1) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720172422
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMRS. JUDY KELLY SHAWCredential: MS, ANP-C
Location Address113 HOLLAND AVE, MC 111D, VAMCAlbany, NY 12208
Mailing Address167 Windy Hill RdGreenwich, NY 12834 · (518) 695-4677 · Fax (518) 695-9621
Phone(518) 626-6421
Fax(518) 626-6564
Sole ProprietorNo
Enumeration DateOctober 3, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720172422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F331353-1
113 HOLLAND AVE, MC 111D, Albany, NY 12208
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Judy Kelly Shaw Ms, Anp-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 12208 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
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Judy Shaw's NPI number?

The NPI number for Judy Shaw is 1720172422. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Judy Shaw located?

Judy Shaw practices at 113 Holland Ave, Mc 111D Vamc, Albany, NY 12208. The listed phone number is (518) 626-6421.

What is Judy Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Judy Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Judy Shaw was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.