1. Home
  2. Directory
  3. Massachusetts
  4. Pittsfield
  5. Physician Assistant
  6. NPI Profile

STACY SHANE SHAW
NPI 1770185225
Physician Assistant - Surgical in Pittsfield, MA

Active since November 10, 2020PECOS Enrolled
725 NORTH ST, PITTSFIELD, MA 01201(413) 447-2000 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stacy Shane Shaw NPPES

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

STACY SHANE SHAW (NPI 1770185225) is an individual surgical provider in Pittsfield, Massachusetts and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770185225
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameSTACY SHANE SHAW
Location Address725 NORTH STPittsfield, MA 01201-4109
Mailing Address3814 Se 98th AvePortland, OR 97266-2502 · (503) 313-9634
Phone(413) 447-2000
Sole ProprietorNo
Enumeration DateNovember 10, 2020
NPPES CertifiedNovember 10, 2020
✔ NPI 1770185225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
725 NORTH ST, Pittsfield, MA 01201
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Shane Shaw 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.

Other Providers at the Same Location NPPES 20

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

JASON G. TOUHEY D.O.
Internal Medicine
725 NORTH ST
PITTSFIELD, MA 01201
Berkshire County (413) 496-6820
PATRICK CHAMBERS
Emergency Medicine
725 NORTH ST
PITTSFIELD, MA 01201
Berkshire County (413) 447-2000
GRACE L KLANDERUD MD
Emergency Medicine
725 NORTH ST
PITTSFIELD, MA 01201
Berkshire County (413) 496-6820
RONIEL M. SANTOS D.O.
Emergency Medicine
725 NORTH ST, BERKSHIRE MEDICAL CENTER EMERGENCY DEPT
PITTSFIELD, MA 01201
Berkshire County (413) 447-2000
DR. HERBERT DAVID ROD DDS
Dentist
725 NORTH ST, DEPARTMENT OF DENTISTRY
PITTSFIELD, MA 01201
Berkshire County (413) 447-2781
RAYMOND G SOHL MD
Anesthesiology
725 NORTH ST, BERKSHIRE MEDICAL CENTER
PITTSFIELD, MA 01201
Berkshire County (413) 447-2555
DANIEL M DOYLE MD
Internal Medicine (Pulmonary Disease)
725 NORTH ST, PULMONARY MEDICINE
PITTSFIELD, MA 01201
Berkshire County (413) 447-2695
RENE AILLON
Anesthesiology
725 NORTH ST
PITTSFIELD, MA 01201
Berkshire County (413) 447-2555

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 Stacy Shaw's NPI number?

The NPI number for Stacy Shaw is 1770185225. It was assigned to this individual provider in the NPPES registry on November 10, 2020.

Where is Stacy Shaw located?

Stacy Shaw practices at 725 North St, Pittsfield, MA 01201. The listed phone number is (413) 447-2000.

What is Stacy Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stacy Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Stacy Shaw was last updated on November 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.