JILLIAN DENISE SHAW (NP-C) – Family Nurse Practitioner, NPI 1982118220

JILLIAN DENISE SHAW (NP-C) is a healthcare provider. based in Kettering, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials NP-C. They hold a License No. APRN.CNP.022082 (OH). The NPI Number for JILLIAN DENISE SHAW (NP-C) is 1982118220

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JILLIAN DENISE SHAW (NP-C)
NPI
1982118220
Phone
(937) 395-8166
Address
3535 Southern Blvd
Enumeration Date
22 November 2017
Last Update Date
20 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5139434000
Graduation Year
2017 (9 years ago)
PAC ID
8921366071
Group Practice PAC ID
3476714718
Professional Enrollment ID
I20171218002957
Address ID
OH451406969LO390XXRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for JILLIAN DENISE SHAW (NP-C)

  • 3535 Southern Blvd

    Kettering, OH 45429

    Phone: (937) 395-8166

    Type: Location

  • 8701 Old Troy Pike

    Huber Heights, OH 454241066

    Phone: (937) 558-3338

    Type: Location

  • 100 Kettering Way

    Franklin, OH 450051155

    Phone: (937) 458-4700

    Type: Location

  • 1141 N Monroe Dr

    Xenia, OH 453851619

    Phone: (937) 352-2500

    Type: Location

  • 4000 Miamisburg Centerville Rd

    Miamisburg, OH 453427615

    Phone: (937) 384-8791

    Type: Location

  • 6147 State Route 122

    Middletown, OH 450055201

    Phone: (513) 261-3410

    Type: Location

  • 3535 Pentagon Blvd

    Beavercreek, OH 454311705

    Phone: (937) 702-4500

    Type: Location

  • 1997 Miamisburg Centerville Rd

    Centerville, OH 454593811

    Phone: (937) 401-6228

    Type: Location

  • 405 W Grand Ave

    Dayton, OH 454057538

    Phone: (937) 723-3211

    Type: Location

  • 450 Washington Jackson Rd

    Eaton, OH 453208699

    Phone:

    Type: Location

  • 600 W Main St

    Troy, OH 453732928

    Phone: (937) 980-7010

    Fax: (937) 980-7019

    Type: Location

  • 400, East Business Way, Sharonville, Hamilton County, Ohio, 45241, United States

    SHARONVILLE, OH 452413089

    Phone: (952) 687-4088

    Type: Location

  • 7450 SILVER LAKE DR

    WAYNESVILLE, OH 450688230

    Phone: (937) 903-4442

    Type: Mailing

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: 2017-12-18

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
I20171218002957INurse PractitionerOHTBD

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
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes576142$0
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes318145$0
99497Advance care planning, first 30 minutes146127$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes7634$0
99316Nursing facility discharge management, more than 30 minutes4745$0
View full utilization report →

Insurance plans in this area (ZIP 45429)

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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: 3476714718View full group profile
NameSpecialtyState
-OH
-OH
Nurse PractitionerOH
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to JILLIAN DENISE SHAW (NP-C)?
The federal identifier for JILLIAN DENISE SHAW (NP-C) is NPI 1982118220.
Is JILLIAN DENISE SHAW (NP-C) currently active in the NPI registry?
CMS-published data lists JILLIAN DENISE SHAW (NP-C) as an active registrant.
What kind of provider is JILLIAN DENISE SHAW (NP-C)?
The page reflects Family Nurse Practitioner for JILLIAN DENISE SHAW (NP-C). Clinical services aligned with this taxonomy classification.
What location shows for JILLIAN DENISE SHAW (NP-C)?
We surface Kettering, Ohio for JILLIAN DENISE SHAW (NP-C) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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