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KIMBERLY DANIELLE SHAW PA-C
NPI 1942454186
Physician Assistant in Harvey, IL

Active since November 14, 2008PECOS Enrolled
31 W 155TH ST, HARVEY, IL 60426(708) 596-5177(708) 596-5518 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2024, Jul 13, 2021 (2 updates tracked since 2021).

About Kimberly Danielle Shaw Pa-c NPPES

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

KIMBERLY DANIELLE SHAW PA-C (NPI 1942454186) is an individual physician assistant in Harvey, Illinois, licensed in Illinois (085-003355) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942454186
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKIMBERLY DANIELLE SHAWCredential: PA-C
Location Address31 W 155TH STHarvey, IL 60426-3556
Mailing Address31 W 155th StHarvey, IL 60426-3556 · (708) 596-5177 · Fax (708) 596-5518
Phone(708) 596-5177
Fax(708) 596-5518
Sole ProprietorNo
Enumeration DateNovember 14, 2008
Last NPPES UpdateJuly 18, 20242 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1942454186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-003355
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
31 W 155TH ST, Harvey, IL 60426
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Other Names 1

Other Name (5)Kimberly Danielle Young

Other Identifiers 2

Medicaid085003355IL
Other01616617IL · Bcbs

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kimberly Danielle Shaw Pa-c 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 60426 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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 20

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

MISS MAIRA OCHOA APN
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
TED GEORGE ODY ACHUFUSI DO
Family Medicine
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
BERYL ARMSTRONG LCPC
Counselor (Professional)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
JENNIFER R YOUNG LPC
Counselor
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
DR. STEPHANIE LIGGONS FNP-BC
Nurse Practitioner (Family)
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
KRISTIN LUCAS M.D.
Pediatrics
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177
FAMILY CHRISTIAN HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
31 W 155TH ST
HARVEY, IL 60426
Cook County (708) 596-5177

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 Kimberly Shaw's NPI number?

The NPI number for Kimberly Shaw is 1942454186. It was assigned to this individual provider in the NPPES registry on November 14, 2008. The provider is also known as Kimberly Danielle Young.

Where is Kimberly Shaw located?

Kimberly Shaw practices at 31 W 155th St, Harvey, IL 60426. The listed phone number is (708) 596-5177.

What is Kimberly Shaw's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kimberly Shaw enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kimberly Shaw was last updated on July 18, 2024. 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.