JENNIFER SHAW (ARNP, FNP-C, RNC-OB) – Family Nurse Practitioner, NPI 1104322510

JENNIFER SHAW (ARNP, FNP-C, RNC-OB) is a healthcare provider. based in Winter haven, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP, FNP-C, RNC-OB. They hold a License No. 9378843 (FL). The NPI Number for JENNIFER SHAW (ARNP, FNP-C, RNC-OB) is 1104322510

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER SHAW (ARNP, FNP-C, RNC-OB)
NPI
1104322510
Phone
(866) 234-8534
Address
47 5TH ST NW
Enumeration Date
4 April 2018
Last Update Date
11 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8138448100
Graduation Year
2018 (8 years ago)
PAC ID
6103172481
Group Practice PAC ID
7416253828
Professional Enrollment ID
I20180628001042
Address ID
FL336472001TA16011WXXX500
Telehealth
Yes

Contacts

Secure Messaging
jshaw79101@direct.tgh.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

24,232 NURSE PRACTITIONER in FL

Provider Addresses for JENNIFER SHAW (ARNP, FNP-C, RNC-OB)

  • 47 5TH ST NW

    WINTER HAVEN, FL 338814672

    Phone: (866) 234-8534

    Type: Mailing

  • 109 W WALL ST

    FROSTPROOF, FL 338432043

    Phone: (866) 234-8534

    Type: Location

  • PO BOX 1289

    TAMPA, FL 336011289

    Phone: (813) 844-8927

    Type: Mailing

  • 16011 TAMPA PALMS BLVD W

    TAMPA, FL 336472001

    Phone: (813) 844-8100

    Fax: (813) 844-1106

    Type: Location

  • 5 Tee Box, East Fletcher Avenue, Tampa, Hillsborough County, Florida, 33620, United States

    TAMPA, FL 336822969

    Phone: (813) 397-5300

    Fax: (813) 405-3722

    Type: Mailing

  • 2103, North Rome Avenue, Ridgewood Park, West Tampa, Tampa, Hillsborough County, Florida, 33607, United States

    TAMPA, FL 336073509

    Phone: (813) 397-5300

    Fax: (813) 490-1760

    Type: Location

  • 16011 Tampa Palms Blvd W

    Tampa, FL 336472001

    Phone: (813) 844-8100

    Fax: (813) 844-1106

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $170.

Total Amount is formed as General ($170) + Research ($0) + Ownership ($0) = $170.

Last reported payment date: 2024-11-14 • Largest payer in this snapshot: Exact Sciences Corporation ($50).

Total Amount

$170

General + Research + Ownership

Payments

8

Total payment records

General Amount

$170

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-14

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: 2018-06-28

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
I20180628001042INurse PractitionerFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes7069$0
99214Established patient office or other outpatient visit, 30-39 minutes5957$0
View full utilization report →

Insurance plans in this area (ZIP 33881)

Loading plans...

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: 7416253828View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm JENNIFER SHAW (ARNP, FNP-C, RNC-OB)'s NPI?
Yes. JENNIFER SHAW (ARNP, FNP-C, RNC-OB) is listed with NPI 1104322510 in the public NPI dataset.
Does the file indicate JENNIFER SHAW (ARNP, FNP-C, RNC-OB) is practicing under active NPI?
Directory data currently reports JENNIFER SHAW (ARNP, FNP-C, RNC-OB) as active.
What is JENNIFER SHAW (ARNP, FNP-C, RNC-OB) best known for clinically?
Directory data describes JENNIFER SHAW (ARNP, FNP-C, RNC-OB) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does JENNIFER SHAW (ARNP, FNP-C, RNC-OB) list a practice location?
Patients near Winter Haven, Florida may find JENNIFER SHAW (ARNP, FNP-C, RNC-OB) in results; validate coverage separately.
Why does JENNIFER SHAW (ARNP, FNP-C, RNC-OB) have multiple addresses?
7 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DONALD L JOHNSON (ARNP)

Nurse Practitioner
641 US HIGHWAY 17 92 W UNIT 631-B
NPI: 1972508422
South Florida Avenue, Lakeland, Polk County, Florida, 33813, United States
NPI: 1730186800

STEPHANIE A CASSADY (ARNP)

Family Nurse Practitioner
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1376541367

BOBBIE M SKUKOWSKI (ARNP)

Family Nurse Practitioner
BOND CLINIC, P.A.
NPI: 1356349344

LINDA G WIDNER (ARNP)

Family Nurse Practitioner
500, East Central Avenue, Winter Haven, Polk County, Florida, 33880, United States
NPI: 1265430250

VICKI C MOORE-MORBY (APRN)

Family Nurse Practitioner
Woodmont Avenue, Winter Haven, Polk County, Florida, 33884, United States
NPI: 1144228032

MS. PAMELA REGINA GRIFFIN (ARNP)

Family Nurse Practitioner
Winter Haven Hospital, 200, Avenue F Northeast, Winter Haven, Polk County, Florida, 33881, United States
NPI: 1609848506

LATANGRA M MCINTOSH (APRN)

Psychiatric/Mental Health Nurse Practitioner
24 Railroad St
NPI: 1831156298

KATHRYN ELIZABETH NANTZ (ARNP)

Family Nurse Practitioner
515 Wekiva Commons Cir
NPI: 1427071711