NEIL SHAW (NP) – Nurse Practitioner, NPI 1881045896

NEIL SHAW (NP) is a healthcare provider. based in Gaylord, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 4704286192 (MI). The NPI Number for NEIL SHAW (NP) is 1881045896

Main info

Male
10 Years Of Experience
Accepts Medicare Assignment
Name
NEIL SHAW (NP)
NPI
1881045896
Phone
(989) 731-9532
Address
617 N Court Ave
Enumeration Date
30 June 2016
Last Update Date
5 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2319355800
Graduation Year
2016 (10 years ago)
PAC ID
7315205879
Group Practice PAC ID
8820277015
Professional Enrollment ID
I20171211002704
Address ID
MI497351515GA617XXAVEX401
Telehealth
Yes

Contacts

Secure Messaging
nshaw2@direct.mhc.net
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness85
Years active:9State licenses:1Other namesUpdated within 12 months

8,106 NURSE PRACTITIONER in MI

Provider Addresses for NEIL SHAW (NP)

  • 617 N Court Ave

    Gaylord, MI 497351515

    Phone: (989) 731-9532

    Type: Location

  • 809 E Michigan Ave

    Grayling, MI 497381417

    Phone: (989) 348-0530

    Type: Location

  • 224, Circle Drive, Grand Traverse Commons, Traverse City, Grand Traverse County, Michigan, 49684, United States

    TRAVERSE CITY, MI 496842700

    Phone: (231) 932-4912

    Fax: (231) 935-0613

    Type: Location

  • 1200 SIXTH ST STE 200

    TRAVERSE CITY, MI 49684

    Phone: (231) 935-5800

    Fax: (231) 935-5799

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2024-06-04 • Largest payer in this snapshot: ZOLL Services LLC (A/K/A ZOLL LifeCor Corp) ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-04

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-12-11

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
I20171211002704INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes335270$0
99214Established patient office or other outpatient visit, 30-39 minutes7368$0
99212Established patient office or other outpatient visit, 10-19 minutes5756$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report2727$0
99495Transitional care management services for problem of at least moderate complexity2424$0
View full utilization report →

Insurance plans in this area (ZIP 49735)

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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: 8820277015View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Internal MedicineMI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)MI
Cardiovascular Disease (Cardiology), Internal MedicineMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What NPI should I save for NEIL SHAW (NP)?
Save NPI 1881045896 if you need a stable reference for NEIL SHAW (NP).
Is NEIL SHAW (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does NEIL SHAW (NP) work in?
You can think of NEIL SHAW (NP) as practicing within Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does NEIL SHAW (NP) practice in Michigan?
You will see Gaylord, Michigan on file for NEIL SHAW (NP) alongside any extra practice locations.
How can I contact NEIL SHAW (NP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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