BERNADETTE H SHAW (PA-C) – Physician Assistant, NPI 1467412551

BERNADETTE H SHAW (PA-C) is a healthcare provider. based in South portland, Maine. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA865 (ME). The NPI Number for BERNADETTE H SHAW (PA-C) is 1467412551

Main info

Female
22 Years Of Experience
Accepts Medicare Assignment
Name
BERNADETTE H SHAW (PA-C)
NPI
1467412551
Phone
(207) 482-7800
Address
324 GANNETT DR STE 200
Enumeration Date
24 March 2006
Last Update Date
10 September 2021

Doctor Profile

Medical School Name
YALE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
2078282100
Graduation Year
2004 (22 years ago)
PAC ID
5698728202
Group Practice PAC ID
7618871245
Professional Enrollment ID
I20050223000694
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for BERNADETTE H SHAW (PA-C)

  • Gannett Drive, South Portland, Cumberland County, Maine, 04092, United States

    SOUTH PORTLAND, ME 041063266

    Phone: (207) 482-7800

    Type: Mailing

  • 33, Sewall Street, Rosemont, Portland, Cumberland County, Maine, 04102, United States

    PORTLAND, ME 041022603

    Phone: (207) 828-2100

    Type: Location

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.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04106)

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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: 7618871245View full group profile

Reviews

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Frequently asked questions

Can I verify BERNADETTE H SHAW (PA-C) with an NPI only?
You can start verification with NPI 1467412551 for BERNADETTE H SHAW (PA-C), then check state licensing separately.
Can I rely on BERNADETTE H SHAW (PA-C) being an active provider?
As of the registry snapshot, BERNADETTE H SHAW (PA-C) is marked active.
What is BERNADETTE H SHAW (PA-C)'s specialty?
The listing groups BERNADETTE H SHAW (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where should I expect BERNADETTE H SHAW (PA-C) on a map?
Expect South Portland, Maine as a primary anchor for BERNADETTE H SHAW (PA-C) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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