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KATHRYN KIMBERLY SHAW DNP, FNP-BC
NPI 1952105975
Nurse Practitioner in Park City, UT

Active since April 01, 2025PECOS Enrolled
1750 SIDEWINDER DR, PARK CITY, UT 84060(435) 649-7640(435) 645-7768 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 15, 2026, Apr 1, 2025 (2 updates tracked since 2025).

About Kathryn Kimberly Shaw Dnp, Fnp-bc NPPES

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

KATHRYN KIMBERLY SHAW DNP, FNP-BC (NPI 1952105975) is an individual nurse practitioner in Park City, Utah, licensed in Utah (9848969-4405) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lehi, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952105975
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHRYN KIMBERLY SHAWCredential: DNP, FNP-BC
Location Address1750 SIDEWINDER DRPark City, UT 84060-7570
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(435) 649-7640
Fax(435) 645-7768
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 1, 2025
Last NPPES UpdateJanuary 15, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2026
✔ NPI 1952105975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 9848969-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 9848969-4405 (UT)
1750 SIDEWINDER DR, Park City, UT 84060
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Secondary Practice Location 1

Location 13315 W Mayflower Way Ste 4Lehi, UT 84043-2927 · Phone (801) 224-3031

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathryn Kimberly Shaw Dnp, Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8426530007
PECOS Enrollment IDI20260303003583
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.

Medicare Billing Reassignment

Medicare enrollment records show Kathryn Shaw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Emergency Medicine
1750 SIDEWINDER DR
Park City, UT 84060
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1861757478 (435) 649-7640

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 84060 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 6

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

DR. MICHAEL ANDREW ROGOWSKI MD
Emergency Medicine
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640
GINA MARIE PASIN P.A.
Physician Assistant
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640
MRS. CHRISTIN ANNE VAN DINE PA-C, MPAS
Physician Assistant
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640
JULIE DAVIS FNP-C
Nurse Practitioner (Family)
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640
IHC HEALTH SERVICES INC
Emergency Medicine
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640
MARDEE JONES NP
Student in an Organized Health Care Education/Training Program
1750 SIDEWINDER DR
PARK CITY, UT 84060
Summit County (435) 649-7640

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 Kathryn Shaw's NPI number?

The NPI number for Kathryn Shaw is 1952105975. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Kathryn Shaw located?

Kathryn Shaw practices at 1750 Sidewinder Dr, Park City, UT 84060. The listed phone number is (435) 649-7640.

What is Kathryn Shaw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kathryn Shaw enrolled in Medicare?

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

Which organization bills Medicare for Kathryn Shaw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kathryn Shaw reassigns Medicare benefits to Ihc Health Services Inc (Park City, UT). 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 Kathryn 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 Kathryn Shaw was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.