CHRISTINE SHAW – Physician Assistant, NPI 1083270938
Physician Assistant
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Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for CHRISTINE SHAW
116, Winston Avenue, Bartonville, Peoria County, Illinois, 61607, United States
BARTONVILLE, IL 616072267
Phone:
Type: Mailing
UnityPoint Health - Proctor, 5409, North Knoxville Avenue, Peoria, Peoria County, Illinois, 61614, United States
PEORIA, IL 616145069
Phone: (309) 691-1000
Type: Location
5409 N Knoxville Ave
Peoria, IL 616145069
Phone: (309) 691-1000
Type: Location
800 E Carpenter St
Springfield, IL 627695069
Phone: (217) 544-6464
Type: Location
800 E CARPENTER ST
SPRINGFIELD, IL 627691000
Phone: (217) 544-6464
Fax: (217) 757-6805
Type: Mailing
PO BOX 19248
SPRINGFIELD, IL 627949248
Phone: (217) 528-7541
Type: Mailing
401 E CARPENTER ST
SPRINGFIELD, IL 627025104
Phone: (217) 528-7541
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 12 Open Payments records for all available years, with a total value of $237.
Total Amount is formed as General ($237) + Research ($0) + Ownership ($0) = $237.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($81).
Total Amount
$237
General + Research + Ownership
Payments
12
Total payment records
General Amount
$237
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2019-11-06
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 |
|---|---|---|---|---|
| I20191106001494 | I | Physician Assistant | IL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 12 | 11 | $0 |
Insurance plans in this area (ZIP 61607)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Family Practice | NJ | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Vascular Surgery | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| - | IL | |
| Physician Assistant | IL |
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