ERICA D SHAW (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1689179061
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
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Provider Addresses for ERICA D SHAW (APN)
902, West Main Street, West Frankfort, Franklin County, Illinois, 62896, United States
WEST FRANKFORT, IL 628962210
Phone: (618) 937-6483
Fax: (618) 937-1440
Type: Mailing
2615, Edwards Street, Milton, Alton, Madison County, Illinois, 62002, United States
ALTON, IL 620023915
Phone: (618) 462-2331
Fax: (618) 462-7160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $227.
Total Amount is formed as General ($227) + Research ($0) + Ownership ($0) = $227.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($126).
Total Amount
$227
General + Research + Ownership
Payments
6
Total payment records
General Amount
$227
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $126 |
| ABBVIE INC. | $102 |
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: 2021-03-31
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 |
|---|---|---|---|---|
| I20210331000231 | I | Nurse Practitioner | 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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 85 | 40 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 62 | 42 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 22 | $0 |
| 99443 | Telephone medical discussion with physician, 21-30 minutes | 25 | 21 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 18 | 12 | $0 |
Insurance plans in this area (ZIP 62896)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IL | |
| - | IL | |
| P S Y C H I A T R Y | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| Clinical Social Worker | IL | |
| Mental Health Counselor | IL |
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