MS. DOMINIQUE NICOLE SHAW WHNP-BC
NPI 1760267785
Nurse Practitioner - Women's Health in Damascus, MD
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignment
Medicare enrollment records show Dominique Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Damascus, MD 20872
- Reassigned Medicare billing, District of Columbia and Maryland enrollments
- 60 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 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.
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.
DAMASCUS, MD 20872
DAMASCUS, MD 20872
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.
Which organization bills Medicare for Dominique Shaw's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Shaw reassigns Medicare benefits to Simmonds, Martin & Helmbrecht, LLC (Damascus, MD). The 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 Dominique Shaw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 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.
# Ms. Dominique Nicole Shaw, WHNP-BC · NPI 1760267785
Women's Health physician in Damascus, Maryland. Individual provider, active in the CMS NPPES registry since August 28, 2023.
## Identity
- **NPI:** 1760267785 (Entity type: Individual)
- **Enumerated:** August 28, 2023
- **Primary specialty:** Nurse Practitioner - Women's Health · taxonomy 363LW0102X
- **State license:** R224771 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 26005 RIDGE RD STE 200, Damascus, MD 20872-1899
- **Phone:** (301) 414-2300
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Simmonds, Martin & Helmbrecht, LLC (NPI 1558411934, Damascus, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1760267785) · Data from the CMS NPPES public registry.