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MS. DOMINIQUE NICOLE SHAW WHNP-BC
NPI 1760267785
Nurse Practitioner - Women's Health in Damascus, MD

Active since August 28, 2023PECOS Enrolled
26005 RIDGE RD STE 200, DAMASCUS, MD 20872(301) 414-2300 Get Directions Write a Review

NPPES record last updated: August 28, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Dominique Nicole Shaw Whnp-bc NPPES

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

MS. DOMINIQUE NICOLE SHAW WHNP-BC (NPI 1760267785) is an individual women's health provider in Damascus, Maryland, licensed in Maryland (R224771) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Frederick.

NPPES Registry Identity

NPI1760267785
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameMS. DOMINIQUE NICOLE SHAWCredential: WHNP-BC
Location Address26005 RIDGE RD STE 200Damascus, MD 20872-1899
Mailing Address13909 Floyd StUpper Marlboro, MD 20772-6844 · (240) 274-4692
Phone(301) 414-2300
Sole ProprietorNo
Enumeration DateAugust 28, 2023
NPPES CertifiedAugust 28, 2023
✔ NPI 1760267785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in MD · R224771
26005 RIDGE RD STE 200, Damascus, MD 20872
Open in Google Maps ↗

Secondary Practice Location 1

Location 177 Thomas Johnson Dr Ste HFrederick, MD 21702-4893 · Phone (301) 414-2300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Dominique Nicole Shaw Whnp-bc 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 20872 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

Other Providers at the Same Location NPPES 12

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

SIMMONDS, MARTIN & HELMBRECHT, LLC
Clinic/Center (Adult Mental Health)
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
ASHWINA G SHETH MD
Obstetrics & Gynecology
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DR. INARA OMUSO M.D.
Obstetrics & Gynecology (Obstetrics)
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
ADRIENNE LONDEREE LCSW-C
Social Worker (Clinical)
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
MARYLAND PHYSICIANS EDGE LLC
Obstetrics & Gynecology
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
MARYLAND PHYSICIANS EDGE LLC
Clinic/Center (Adult Mental Health)
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300
DR. LIMA LORREN REDHEAD MD
Obstetrics & Gynecology
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2305
AMY LYNN OLSSON CNM
Advanced Practice Midwife
26005 RIDGE RD STE 200
DAMASCUS, MD 20872
Montgomery County (301) 414-2300

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 Dominique Shaw's NPI number?

The NPI number for Dominique Shaw is 1760267785. It was assigned to this individual provider in the NPPES registry on August 28, 2023.

Where is Dominique Shaw located?

Dominique Shaw practices at 26005 Ridge Rd Ste 200, Damascus, MD 20872. The listed phone number is (301) 414-2300.

What is Dominique Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Dominique Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Dominique Shaw was last updated on August 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.