DEBRA LYNN SHAW (NP) – Family Nurse Practitioner, NPI 1154494029

DEBRA LYNN SHAW (NP) is a healthcare provider. based in Elk river, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. R144120-2 (MN). The NPI Number for DEBRA LYNN SHAW (NP) is 1154494029

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA LYNN SHAW (NP)
NPI
1154494029
Phone
Not provided
Address
10973 233RD AVE NW
Enumeration Date
16 November 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6128634000
Graduation Year
2005 (21 years ago)
PAC ID
3971520727
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20051031000812
Address ID
MN554071321MI2925XAVEX300

Contacts

Secure Messaging
dshaw71745@excellian.direct.allina.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

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Provider Addresses for DEBRA LYNN SHAW (NP)

  • 10973 233RD AVE NW

    ELK RIVER, MN 55330

    Phone:

    Type: Mailing

  • 3400, West 66th Street, Southdale, Edina, Hennepin County, Minnesota, 55435, United States

    SUITE 290

    EDINA, MN 55435

    Phone: (952) 914-1882

    Fax: (952) 914-1727

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051031000812INurse PractitionerMNTBD
I20240815000357INurse PractitionerWITBD

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
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes13282$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes8051$0
99344Residence visit for new patient with moderate level of medical decision making, per day, if using time, at least 60 minutes6161$0
View full utilization report →

Insurance plans in this area (ZIP 55330)

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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: 4587573613View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to DEBRA LYNN SHAW (NP)?
NPI 1154494029 is assigned to DEBRA LYNN SHAW (NP) under the national enumeration system.
Is DEBRA LYNN SHAW (NP)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DEBRA LYNN SHAW (NP) work in?
You can think of DEBRA LYNN SHAW (NP) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does DEBRA LYNN SHAW (NP) practice in Minnesota?
You will see Elk River, Minnesota on file for DEBRA LYNN SHAW (NP) alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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