JACLYN SHAW PA
NPI 1891761474
Family Medicine in Schenectady, NY

Q: What is Jaclyn Shaw's NPI number?

The NPI number for Jaclyn Shaw is 1891761474. It was assigned to this individual provider in the NPPES registry on February 24, 2006.

Q: What is Jaclyn Shaw's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jaclyn Shaw was last updated on July 21, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since February 24, 2006PECOS EnrolledAccepts Medicare Assignment

1044 STATE ST, SCHENECTADY, NY 12307(518) 370-1441(518) 395-9431 Get Directions Write a Review

NPPES record last updated: July 21, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jaclyn Shaw Pa NPPES

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

JACLYN SHAW PA (NPI 1891761474) is an individual family medicine provider in Schenectady, New York, licensed in New York (010310-1) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Ellis Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1891761474

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACLYN SHAWCredential: PA

Location Address1044 STATE STSchenectady, NY 12307-1508

Mailing Address1044 State StSchenectady, NY 12307-1508 · (518) 370-1441 · Fax (518) 395-9431

Phone(518) 370-1441

Fax(518) 395-9431

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 24, 2006

Last NPPES UpdateJuly 21, 2009

✔ NPI 1891761474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 010310-1

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1044 STATE ST, Schenectady, NY 12307

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Other Identifiers 5

Medicare ID-Type UnspecifiedPA0560NY

Medicaid02995513NY

Medicare OSCAR/certification331833NY

Medicare PIN53099ANY

Medicare UPINQ31144NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jaclyn Shaw Pa 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 ID3072570316

PECOS Enrollment IDI20041217000511

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ellis Hospital

Acute Care Hospitals · Schenectady, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330153

Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12307 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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

1 supplier21 claims1,705 services$0.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MARC HECKER OD

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