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Active NPI 1346614138 Individual Practitioner Female Practitioner

Nicole B Shaw , NP

Nurse Practitioner • Fort Wayne, IN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nicole Shaw, NP is a certified Nurse Practitioner practicing in Fort Wayne, IN. With approximately 12 years of clinical experience since completing medical education in 2014, Nicole Shaw delivers high-quality medical care to the local community at 11141 PARKVIEW PLAZA DR STE 305.

Nicole Shaw is affiliated with Parkview Health System Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11141 Parkview Plaza Dr Ste 305

Fort Wayne, IN 468451715

Telephone 2602668907
Fax 2604256789
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Fort Wayne, IN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +2.8 yrs vs City Avg
City Avg: 9.2 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
526 Specialists

Practicing in Fort Wayne, IN (2620 Statewide)

Telehealth Adoption Rate
23.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
31.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shaw (12 Years) 12 Yrs
Fort Wayne Specialty Average (9.2 Years) 9.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
267 202 $98.00 $76.98
99213 Established patient office or other outpatient visit, typically 15 minutes
21 20 $67.50 $52.18
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
20 15 $40.25 $13.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
12 12 $154.00 $105.11

Medical Specialties & State Licenses

CMS Verified: 2022-10-07
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License IN 71005611A

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Registered Nurse License
28202395A (IN)
Commercial Insurance / Payer ID Family Nurse Practitioner License
F0714303 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

11104 Parkview Circle Dr, Fort Wayne, IN 468451672

Phone: 2062665400

Practice Associates & Co-Workers

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

21 Associated Practitioners
Dr. Kelley Lockhart , MD

Internal Medicine - Critical Care Medicine

NPI 1033192679

Doctor of Medicine (M.D.)

Dr. Kevin Bui , MD

Psychiatry & Neurology - Neurology

NPI 1144727546

Doctor of Medicine (M.D.)

Cassandra Rentschler

Nurse Practitioner

NPI 1275138364
Aaron Emmons , NP-C

Nurse Practitioner

NPI 1275902595

Nurse Practitioner (Certified)

Diane Glass , RD

Dietitian, Registered

NPI 1346541562

Registered Dietitian

Emily Weatherhead

Nurse Practitioner

NPI 1427717891

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 09, 2021

Registered at 11141 PARKVIEW PLAZA DR STE 305, FORT WAYNE, IN 468451715 (Tel: 2602668907)

📍
Updated Business Mailing Address July 09, 2021

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

NPI Profile Active November 08, 2017

NPI status registered as active in NPPES database

📍
Updated Business Mailing Address November 08, 2017

Registered at 3702 NEW VISION DR BLDG B, FORT WAYNE, IN 468451703 (Tel: 2602666013)

📍
Updated Practice Location November 08, 2017

Registered at 1255 ENGLE ST, HUNTINGTON, IN 467503927 (Tel: 2603550722)

👤
Provider Name / Credentials Updated November 08, 2017

Recorded as NICOLE SHAW, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 08, 2017

Nurse Practitioner (License #71005611A in IN)

NPI Profile Active November 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2015

Registered at 1255 ENGLE ST, HUNTINGTON, IN 467503927 (Tel: 2603550722)

📍
Updated Business Mailing Address November 17, 2015

Registered at 1255 ENGLE ST, HUNTINGTON, IN 467503927 (Tel: 2603550722)

👤
Provider Name / Credentials Updated November 17, 2015

Recorded as NICOLE SHAW, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2015

Nurse Practitioner (License #F0714303 in IN)

🟢
Initial NPI Registration & Enumeration November 17, 2015

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: 1346614138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 17, 2015
Last Update: October 07, 2022
Sole Proprietor: No

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

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.