DR. CARMENCITA E SHAW (DNP) – Family Nurse Practitioner, NPI 1225402118

DR. CARMENCITA E SHAW (DNP) is a healthcare provider. based in Melbourne, Florida. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP. They hold a License No. APRN9432845 (FL). The NPI Number for DR. CARMENCITA E SHAW (DNP) is 1225402118

Main info

Female
19 Years Of Experience
Accepts Medicare Assignment
Name
DR. CARMENCITA E SHAW (DNP)
NPI
1225402118
Phone
(321) 593-6999
Address
PO BOX 991
Enumeration Date
16 November 2015
Last Update Date
8 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3215936999
Graduation Year
2007 (19 years ago)
PAC ID
7416226311
Group Practice PAC ID
7719262773
Professional Enrollment ID
I20170710000740
Address ID
FL329767101BA947XXBLVD300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:10State licenses:1Digital endpointsOther names

24,232 NURSE PRACTITIONER in FL

Provider Addresses for DR. CARMENCITA E SHAW (DNP)

  • PO BOX 991

    MELBOURNE, FL 329020991

    Phone: (321) 593-6999

    Fax: (321) 327-2262

    Type: Mailing

  • 8000 RON BEATTY BLVD STE B-5

    MICCO, FL 329767471

    Phone: (321) 593-6999

    Fax: (321) 327-2262

    Type: Location

  • 947 BAREFOOT BLVD

    BAREFOOT BAY, FL 329767101

    Phone: (321) 593-6999

    Fax: (321) 327-2262

    Type: Location

  • 935 BAREFOOT BLVD STE 3

    BAREFOOT BAY, FL 329767620

    Phone: (321) 593-6999

    Fax: (321) 327-2262

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2017-07-10

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
I20170710000740INurse 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
99214Established patient office or other outpatient visit, 30-39 minutes777282$0
99213Established patient office or other outpatient visit, 20-29 minutes663254$0
99441Telephone medical discussion with physician, 5-10 minutes285135$0
J1071Injection, testosterone cypionate, 1 mg19912$0
99442Telephone medical discussion with physician, 11-20 minutes142102$0
View full utilization report →

Insurance plans in this area (ZIP 32902)

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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: 7719262773View full group profile
NameSpecialtyState
Family PracticeFL
Nurse PractitionerFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

What federal number belongs to DR. CARMENCITA E SHAW (DNP)?
The federal identifier for DR. CARMENCITA E SHAW (DNP) is NPI 1225402118.
Is DR. CARMENCITA E SHAW (DNP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. CARMENCITA E SHAW (DNP)'s specialty in plain language?
Clinically, the directory lists DR. CARMENCITA E SHAW (DNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DR. CARMENCITA E SHAW (DNP) practice in Florida?
You will see Melbourne, Florida on file for DR. CARMENCITA E SHAW (DNP) alongside any extra practice locations.
How can I contact DR. CARMENCITA E SHAW (DNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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