MRS. LESLIE S SHAW (NP) – Family Medicine Physician, NPI 1720360746
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,515 NURSE PRACTITIONER in NJ
Provider Addresses for MRS. LESLIE S SHAW (NP)
360 Route 73 S
Marlton, NJ 080532004
Phone: (856) 596-7010
Type: Location
323 Cromwell Ave
Rocky Hill, CT 060671801
Phone: (866) 389-2727
Type: Location
107 S Country Rd
Bellport, NY 117132523
Phone: (866) 389-2727
Type: Location
1650 N Farwell Ave
Milwaukee, WI 532022331
Phone: (866) 389-2727
Type: Location
1218 E Lancaster Ave
Bryn Mawr, PA 190102616
Phone: (866) 389-2727
Type: Location
2782 N Cobb Pkwy
Kennesaw, GA 301523472
Phone: (866) 389-2727
Type: Location
6 Fairview Lake Way
Simpsonville, SC 296807130
Phone: (866) 389-2727
Type: Location
19305 Ruby Dr
Leesburg, VA 201766508
Phone: (866) 389-2727
Type: Location
360 ROUTE 73 S
MARLTON, NJ 080532004
Phone: (856) 596-7010
Type: Location
2 LUCILLE LN
CHERRY HILL, NJ 080031031
Phone: (609) 206-7872
Type: Mailing
2340 SPRING FOREST RD
RALEIGH, NC 276157528
Phone: (866) 389-2727
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: 2025-10-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 10 Medicare enrollment records; no due dates published yet.
Enrollment records
10
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20111121000523 | I | Nurse Practitioner | NJ | TBD |
| I20170104001392 | I | Nurse Practitioner | PA | TBD |
| I20250505000386 | I | Nurse Practitioner | NC | TBD |
| I20250807002763 | I | Nurse Practitioner | CT | TBD |
| I20250812003667 | I | Nurse Practitioner | SC | TBD |
| I20250902003954 | I | Nurse Practitioner | WI | TBD |
| I20250911000110 | I | Nurse Practitioner | DC | TBD |
| I20250911002610 | I | Nurse Practitioner | GA | TBD |
| I20250917002540 | I | Nurse Practitioner | VA | TBD |
| I20251001003656 | I | Nurse Practitioner | NY | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 53 | 50 | $0 |
| G0008 | Administration of influenza virus vaccine | 32 | 32 | $0 |
| 90694 | Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage | 31 | 31 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 28 | 27 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 25 | 25 | $0 |
Insurance plans in this area (ZIP 08053)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ | |
| - | NJ |
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