TERESA MARIE DOLPHIN-SHAW (D.O.) – Child & Adolescent Psychiatry Physician, NPI 1073870226

TERESA MARIE DOLPHIN-SHAW (D.O.) is a healthcare provider. based in Cape girardeau, Missouri. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. DO05034 (IA). The NPI Number for TERESA MARIE DOLPHIN-SHAW (D.O.) is 1073870226

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
TERESA MARIE DOLPHIN-SHAW (D.O.)
NPI
1073870226
Phone
(605) 212-8512
Address
1748 LAKESHORE DR
Enumeration Date
12 April 2012
Last Update Date
6 May 2020

Doctor Profile

Medical School Name
KANSAS CITY MEDICAL COLLEGE
Secondary Phone
5152822200
Graduation Year
2012 (14 years ago)
PAC ID
4789807850
Group Practice PAC ID
3678466166
Professional Enrollment ID
I20170921000763
Address ID
IA503141548DE1801XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

304 PSYCHIATRY in IA

Provider Addresses for TERESA MARIE DOLPHIN-SHAW (D.O.)

  • 1748 LAKESHORE DR

    CAPE GIRARDEAU, MO 637011921

    Phone: (605) 212-8512

    Type: Mailing

  • 1801 HICKMAN RD

    DES MOINES, IA 503141548

    Phone: (515) 282-5695

    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: 2017-09-21

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
I20170921000763IPsychiatryIATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6628$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes2415$0
View full utilization report →

Insurance plans in this area (ZIP 63701)

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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: 3678466166View full group profile
NameSpecialtyState
Internal MedicineIA
O B S T E T R I C S/ G Y N E C O L O G YIA
Emergency MedicineIA
Family PracticeIA
-IA
-IA
O P T O M E T R YIA
-IA
O P T O M E T R YIA
-IA

Reviews

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Frequently asked questions

Is TERESA MARIE DOLPHIN-SHAW (D.O.) listed with a National Provider Identifier?
Yes — TERESA MARIE DOLPHIN-SHAW (D.O.) has NPI 1073870226 on file in the registry.
Is TERESA MARIE DOLPHIN-SHAW (D.O.) still an active registrant?
TERESA MARIE DOLPHIN-SHAW (D.O.) carries an active NPI according to the public dataset.
What area of care is associated with TERESA MARIE DOLPHIN-SHAW (D.O.)?
TERESA MARIE DOLPHIN-SHAW (D.O.)'s record emphasizes Child & Adolescent Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for TERESA MARIE DOLPHIN-SHAW (D.O.)?
Travel planning: use Cape Girardeau, Missouri as the reference point for TERESA MARIE DOLPHIN-SHAW (D.O.), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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