JOY SHAW – Medical Physician Assistant, NPI 1669984019

JOY SHAW is a healthcare provider. based in Du bois, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. MA059518 (PA). The NPI Number for JOY SHAW is 1669984019

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
JOY SHAW
NPI
1669984019
Phone
(412) 996-2244
Address
100 Hospital Ave
Enumeration Date
25 October 2017
Last Update Date
5 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8143429701
Graduation Year
2017 (9 years ago)
PAC ID
2062770118
Group Practice PAC ID
3072579598
Professional Enrollment ID
I20171218002770
Address ID
PA168662300PH271XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness85
Years active:8State licenses:2Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for JOY SHAW

  • 100 Hospital Ave

    Du Bois, PA 158011440

    Phone: (412) 996-2244

    Type: Location

  • 2051 S Atherton St

    State College, PA 168017608

    Phone: (844) 278-4600

    Fax: (814) 231-6879

    Type: Location

  • 1782 TREASURE LK

    DU BOIS, PA 158019047

    Phone: (412) 996-2244

    Type: Mailing

  • 111, Summit Street, Brookville, Jefferson County, Pennsylvania, 15825, United States

    BROOKVILLE, PA 158251422

    Phone: (412) 996-2244

    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: 2017-12-18

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
I20171218002770IPhysician AssistantPATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 15801)

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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: 3072579598View full group profile
NameSpecialtyState
Emergency Medicine, HospitalistPA
Certified Registered Nurse Anesthetist (Crna)PA
Cardiovascular Disease (Cardiology), Internal MedicinePA
Nurse PractitionerPA
Nurse PractitionerPA
P S Y C H I A T R YPA
Nurse PractitionerPA
Nurse PractitionerPA
Emergency MedicinePA
Physician AssistantPA

Reviews

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Frequently asked questions

How do I look up JOY SHAW by NPI?
Use NPI 1669984019 when you need to reference JOY SHAW in forms, claims, or directories.
Is JOY SHAW's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does JOY SHAW list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for JOY SHAW. Clinical services aligned with this taxonomy classification.
What location shows for JOY SHAW?
We surface Du Bois, Pennsylvania for JOY SHAW based on available NPPES addresses.
Is JOY SHAW a real provider?
This page reflects official NPPES data for NPI 1669984019. Always confirm identity and privileges with the practice and licensing boards.

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