JENNIFER SHAW (ARNP, FNP-C, RNC-OB) – Family Nurse Practitioner, NPI 1104322510
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
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
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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
| Company | Amount |
|---|---|
| Exact Sciences Corporation | $50 |
| Lilly USA, LLC | $34 |
| SI-BONE, INC. | $25 |
| Amgen Inc. | $22 |
| GlaxoSmithKline, LLC. | $20 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180628001042 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 70 | 69 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 59 | 57 | $0 |
Insurance plans in this area (ZIP 33881)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | FL | |
| - | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Nurse Practitioner | FL |
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