TERA MARIE SHAW APRN
NPI 1760166904
Nurse Practitioner - Acute Care in West Milton, OH

Active since June 08, 2023PECOS EnrolledAccepts Medicare Assignment
407 N. MIAMI ST, WEST MILTON, OH 45383(937) 430-2213 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tera Marie Shaw Aprn NPPES

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

TERA MARIE SHAW APRN (NPI 1760166904) is an individual acute care provider in West Milton, Ohio, licensed in Ohio (APRN.CNP.0034001) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1760166904
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameTERA MARIE SHAWCredential: APRN
Location Address407 N. MIAMI STWest Milton, OH 45383
Mailing Address407 N Miami StWest Milton, OH 45383-1911 · (937) 430-2213
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 8, 2023
NPPES CertifiedJune 8, 2023
✔ NPI 1760166904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in OH · APRN.CNP.0034001
407 N. MIAMI ST, West Milton, OH 45383

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

Tera Marie Shaw Aprn 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 ID5698129690
PECOS Enrollment IDI20230925003148
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tera Shaw reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cardiovascular Disease
9000 N MAIN ST, STE 101
Dayton, OH 45415
  • Reassigned Medicare billing, Ohio enrollment
  • 812 clinicians in this Medicare group
Hospitalist
1 WYOMING ST
Dayton, OH 45409
  • Reassigned Medicare billing, Ohio enrollment
  • 270 clinicians in this Medicare group
Hospitalist
1 MEDICAL CENTER DR
Middletown, OH 45005
  • Reassigned Medicare billing, Ohio enrollment
  • 263 clinicians in this Medicare group
Hospitalist
651 W MARION RD
Mount Gilead, OH 43338
  • Reassigned Medicare billing, Ohio enrollment
  • 89 clinicians in this Medicare group
Internal Medicine
6435 W JEFFERSON BLVD, PMB 109
Fort Wayne, IN 46804
  • Reassigned Medicare billing, Ohio enrollment
  • Medicare enrollment name: Hospital Care Group PC
  • 36 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45383 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 Tera Shaw's NPI number?

The NPI number for Tera Shaw is 1760166904. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Tera Shaw located?

Tera Shaw practices at 407 N. Miami St, West Milton, OH 45383. The listed phone number is (937) 430-2213.

What is Tera Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Tera Shaw enrolled in Medicare?

Yes. Tera 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 Tera Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tera Shaw reassigns Medicare benefits to 5 organizations: Premier Health Specialists Inc (Dayton, OH), Sinclair Physician Services, LLC (Dayton, OH), Hisey Physician Services, LLC (Middletown, OH), Hospital Medicine Services Of Ohio, Inc. (Mount Gilead, OH) and Hospital Care Group, P.C. (Fort Wayne, IN). 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 Tera Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tera Shaw accept?

Health plans from CareSource list Tera 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.

When was this NPI record last updated?

The NPPES record for Tera Shaw was last updated on June 8, 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.