Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164249132 Individual Practitioner Female Practitioner

Jennifer Shaw , ARNP

Nurse Practitioner • Moline, IL

Professional Overview & Biography Verified Profile Summary

Jennifer Shaw, ARNP is a registered healthcare professional specializing in Nurse Practitioner in Moline, IL. Practice services are available at 545 VALLEY VIEW DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

545 Valley View Dr

Moline, IL 612656138

Telephone 3097625560
Associated Practice Facility / Clinic
🏢 Resolve Healthcare Llc Facility NPI 1487634390

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Moline, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 10.4 Yrs
Regional Practice Density
30 Specialists

Practicing in Moline, IL (4929 Statewide)

Telehealth Adoption Rate
3.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-09-22
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IA H181119

(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.

Secondary Practice Locations

5041 Utica Ridge Rd Ste 100

Davenport, IA 528073480

Phone: 3097625560

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

24 Associated Practitioners
Dr. Ronnie Pimentel , MD

Internal Medicine - Gastroenterology

NPI 1003818188

Doctor of Medicine (M.D.)

Dr. Rao Movva , MD

Internal Medicine - Gastroenterology

NPI 1073515243

Doctor of Medicine (M.D.)

NPI 1104836683

Doctor of Medicine (M.D.)

Peter Fecht , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144224429

Certified Registered Nurse Anesthetist

Greg Mendrek , CRNA

Nurse Anesthetist, Certified Registered

NPI 1144227406

Certified Registered Nurse Anesthetist

Holly Hatch , CRNA

Nurse Anesthetist, Certified Registered

NPI 1295989796

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active September 23, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location September 23, 2024

Registered at 545 VALLEY VIEW DR, MOLINE, IL 612656138 (Tel: 3097625560)

📍
Updated Business Mailing Address September 23, 2024

Registered at 545 VALLEY VIEW DR, MOLINE, IL 612656138 (Tel: 3097625560)

👤
Provider Name / Credentials Updated September 23, 2024

Recorded as JENNIFER SHAW, ARNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 23, 2024

Nurse Practitioner (License #H181119 in IA)

🟢
Initial NPI Registration & Enumeration September 23, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164249132
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 23, 2024
Last Update: September 23, 2024
Sole Proprietor: No

Mailing Address

545 Valley View Dr

Moline, IL 612656138

Phone: 3097625560

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.