PADEN WILLIAM SHAFFER (NP) – Family Nurse Practitioner, NPI 1932742582

PADEN WILLIAM SHAFFER (NP) is a healthcare provider. based in Joplin, Missouri. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 79002 (KS). The NPI Number for PADEN WILLIAM SHAFFER (NP) is 1932742582

Main info

Male
7 Years Of Experience
Accepts Medicare Assignment
Name
PADEN WILLIAM SHAFFER (NP)
NPI
1932742582
Phone
(417) 347-8315
Address
1002 McIntosh Cir Ste 4
Enumeration Date
25 October 2019
Last Update Date
25 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6204211081
Graduation Year
2019 (7 years ago)
PAC ID
6608108964
Group Practice PAC ID
8325942253
Professional Enrollment ID
I20191106001144
Address ID
KS673574948PA1902XEXXX702
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

7,023 NURSE PRACTITIONER in MO

Provider Addresses for PADEN WILLIAM SHAFFER (NP)

  • 1002 McIntosh Cir Ste 4

    Joplin, MO 648043600

    Phone: (417) 347-8315

    Type: Location

  • 1902 S Hwy 59 Ste 205

    Parsons, KS 673574948

    Phone: (417) 347-8315

    Type: Location

  • 3011 N MICHIGAN ST

    PITTSBURG, KS 667622546

    Phone:

    Type: Mailing

  • 1624 S NATIONAL AVE

    FORT SCOTT, KS 667012645

    Phone: (620) 223-8428

    Type: Location

  • PO BOX 3810

    JOPLIN, MO 648033810

    Phone:

    Type: Mailing

  • 1606 N BROADWAY ST

    PITTSBURG, KS 667623022

    Phone: (620) 231-0958

    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 $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2024-09-12

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
I20191106001144INurse PractitionerKSTBD
I20240912001436INurse PractitionerMOTBD

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.

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

Insurance plans in this area (ZIP 64804)

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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: 8325942253View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
-MO
-MO
Nurse PractitionerKS
U R O L O G YMO
R H E U M A T O L O G YMO
Nurse PractitionerMO
H E M A T O L O G Y/ O N C O L O G YMO
-MO
Sleep Medicine, Pulmonary Disease, Critical Care (Intensivists)MO

Reviews

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Frequently asked questions

How is PADEN WILLIAM SHAFFER (NP) identified in CMS data?
CMS-hosted NPPES data lists PADEN WILLIAM SHAFFER (NP) with NPI 1932742582.
Does the file indicate PADEN WILLIAM SHAFFER (NP) is practicing under active NPI?
Directory data currently reports PADEN WILLIAM SHAFFER (NP) as active.
What is PADEN WILLIAM SHAFFER (NP)'s specialty?
The listing groups PADEN WILLIAM SHAFFER (NP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where is PADEN WILLIAM SHAFFER (NP) based?
PADEN WILLIAM SHAFFER (NP) is tied to Joplin, Missouri in the data we show; additional addresses may exist on the full record.
Why does PADEN WILLIAM SHAFFER (NP) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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