Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215709498 Individual Practitioner Male Practitioner

James Shaw

Peer Specialist • Devils Lake, ND

Professional Overview & Biography Verified Profile Summary

James Shaw is a registered healthcare professional specializing in Peer Specialist in Devils Lake, ND. Practice services are available at 414 4TH AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

414 4th Ave Ne

Devils Lake, ND 583012458

Telephone 7016626767
Associated Practice Facility / Clinic
🏢 Amachi Mentoring Facility NPI 1366023491

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Devils Lake, ND

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
55 Specialists

Practicing in Devils Lake, ND (296 Statewide)

Telehealth Adoption Rate
0.0% 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: 2023-10-23
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

Secondary Practice Locations

512 4th St Ne

Devils Lake, ND 583012597

Phone: 7016626767

Practice Associates & Co-Workers

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

32 Associated Practitioners
Amanda Delvo

Peer Specialist

NPI 1023808334
Tammy Brooks

Peer Specialist

NPI 1043911159
Ladene Gladue

Peer Specialist

NPI 1053136879
Dylan Medrud

Case Manager/Care Coordinator

NPI 1144048307
Kerry Morin

Peer Specialist

NPI 1184310435
Christine Thomas

Case Manager/Care Coordinator

NPI 1235935586

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 23, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location October 23, 2023

Registered at 414 4TH AVE NE, DEVILS LAKE, ND 583012458 (Tel: 7016626767)

📍
Updated Business Mailing Address October 23, 2023

Registered at 414 4TH AVE NE, DEVILS LAKE, ND 583012458 (Tel: 7016626767)

👤
Provider Name / Credentials Updated October 23, 2023

Recorded as JAMES SHAW

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2023

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 23, 2023

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: 1215709498
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2023
Last Update: October 23, 2023
Sole Proprietor: Yes

Mailing Address

414 4th Ave Ne

Devils Lake, ND 583012458

Phone: 7016626767

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.