NICOLE SHAW (M.D.) – Family Medicine Physician, NPI 1285079020

NICOLE SHAW (M.D.) is a healthcare provider. based in Cullman, Alabama. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 33974 (AL). The NPI Number for NICOLE SHAW (M.D.) is 1285079020

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE SHAW (M.D.)
NPI
1285079020
Phone
(256) 737-8051
Address
1890 AL HIGHWAY 157 STE 300
Enumeration Date
7 May 2013
Last Update Date
5 January 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2567378000
Graduation Year
2013 (13 years ago)
PAC ID
1456645183
Group Practice PAC ID
2365354339
Professional Enrollment ID
I20160803001835
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

1,754 FAMILY PRACTICE in AL

Provider Addresses for NICOLE SHAW (M.D.)

  • 1890 AL HIGHWAY 157 STE 300

    CULLMAN, AL 350580689

    Phone: (256) 737-8051

    Fax: (256) 737-8059

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $583.

Total Amount is formed as General ($583) + Research ($0) + Ownership ($0) = $583.

Last reported payment date: 2024-11-07 • Largest payer in this snapshot: ABBVIE INC. ($162).

Total Amount

$583

General + Research + Ownership

Payments

32

Total payment records

General Amount

$583

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-08-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160803001835IFamily PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes938300$0
36415Insertion of needle into vein for collection of blood sample564282$0
80053Blood test, comprehensive group of blood chemicals499280$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month36865$0
80061Blood test, lipids (cholesterol and triglycerides)353249$0
View full utilization report →

Insurance plans in this area (ZIP 35058)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2365354339View full group profile
NameSpecialtyState
Nurse PractitionerAL
Registered Dietitian Or Nutrition ProfessionalAL
Internal MedicineAL
Nurse PractitionerAL
Nurse PractitionerAL
Family PracticeAL
-AL
Mental Health CounselorAL
Internal MedicineAL
Nurse PractitionerAL

Reviews

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Frequently asked questions

Where can patients find NICOLE SHAW (M.D.)'s NPI?
You can confirm NICOLE SHAW (M.D.) with NPI 1285079020; it appears in the national provider directory.
Does this profile mean NICOLE SHAW (M.D.) is currently active?
Yes — NICOLE SHAW (M.D.) appears active in the national provider directory.
What field does NICOLE SHAW (M.D.) work in?
You can think of NICOLE SHAW (M.D.) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for NICOLE SHAW (M.D.)?
We surface Cullman, Alabama for NICOLE SHAW (M.D.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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