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

Q: 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.

Q: What is Kathryn Shaw's specialty?

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

Q: 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 7 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.

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: August 30, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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