MS. KATHERINE ROSE SHAW (NP) – Adult Health Nurse Practitioner, NPI 1235564402

MS. KATHERINE ROSE SHAW (NP) is a healthcare provider. based in Southfield, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704269149 (MI). The NPI Number for MS. KATHERINE ROSE SHAW (NP) is 1235564402

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MS. KATHERINE ROSE SHAW (NP)
NPI
1235564402
Phone
(248) 642-8989
Address
18161 W 13 MILE RD
Enumeration Date
6 September 2013
Last Update Date
17 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2482882210
Graduation Year
2013 (13 years ago)
PAC ID
2264750777
Group Practice PAC ID
0446265268
Professional Enrollment ID
I20150414000535
Address ID
MI480736770RO3535XRDXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness85
Years active:12State licenses:1Digital endpointsOther names

8,105 NURSE PRACTITIONER in MI

Provider Addresses for MS. KATHERINE ROSE SHAW (NP)

  • 18161 W 13 MILE RD

    SUITE E1

    SOUTHFIELD, MI 480761113

    Phone: (248) 642-8989

    Type: Mailing

  • 19933 W 13 MILE RD

    SOUTHFIELD, MI 480761024

    Phone: (248) 203-9000

    Type: Location

  • 4600 INVESTMENT DR STE 180

    TROY, MI 480986366

    Phone: (248) 764-4225

    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: 2015-04-14

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
I20150414000535INurse PractitionerMITBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes962219$0
99310Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes495205$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes312108$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes302117$0
G0317Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi8661$0
View full utilization report →

Insurance plans in this area (ZIP 48076)

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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: 0446265268View full group profile
NameSpecialtyState
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
-MI
Physical Medicine And RehabilitationMI
Physician AssistantMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI
Physical Medicine And RehabilitationMI

Reviews

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Frequently asked questions

What NPI should I save for MS. KATHERINE ROSE SHAW (NP)?
Save NPI 1235564402 if you need a stable reference for MS. KATHERINE ROSE SHAW (NP).
Is MS. KATHERINE ROSE SHAW (NP) currently active in the NPI registry?
CMS-published data lists MS. KATHERINE ROSE SHAW (NP) as an active registrant.
What field does MS. KATHERINE ROSE SHAW (NP) work in?
You can think of MS. KATHERINE ROSE SHAW (NP) as practicing within Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location metadata exists for MS. KATHERINE ROSE SHAW (NP)?
The page summarizes Southfield, Michigan for MS. KATHERINE ROSE SHAW (NP); expand the address list for detail.
How can I contact MS. KATHERINE ROSE SHAW (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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