DANIEL S SHAW (ACNP) – Family Nurse Practitioner, NPI 1114493756

DANIEL S SHAW (ACNP) is a healthcare provider. based in Waynesboro, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 24734 (TN). The NPI Number for DANIEL S SHAW (ACNP) is 1114493756

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DANIEL S SHAW (ACNP)
NPI
1114493756
Phone
(931) 722-2800
Address
PO BOX 689
Enumeration Date
22 October 2018
Last Update Date
17 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4098927171
Graduation Year
2017 (9 years ago)
PAC ID
1355686007
Group Practice PAC ID
0547610677
Professional Enrollment ID
I20210921000574
Address ID
TX777021809BE2830XSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for DANIEL S SHAW (ACNP)

  • PO BOX 689

    WAYNESBORO, TN 384850689

    Phone: (931) 722-2800

    Fax: (931) 722-9627

    Type: Mailing

  • 107 JV MANGUBAT DR

    WAYNESBORO, TN 384852440

    Phone: (931) 722-2800

    Fax: (931) 722-9627

    Type: Location

  • 107 Jv Mangubat Dr

    Waynesboro, TN 384852440

    Phone: (931) 722-2800

    Fax: (931) 722-9627

    Type: Location

  • 213 S JEFFERSON ST STE 1006

    ROANOKE, VA 240111713

    Phone:

    Type: Mailing

  • 1906 BELLEVIEW AVE SE

    ROANOKE, VA 240141838

    Phone: (540) 981-7000

    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: 2025-11-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20181227001071INurse PractitionerTNTBD
I20210921000574INurse PractitionerTXTBD
I20251118000061INurse PractitionerVATBD

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 minutes6434$0
99238Hospital discharge day management, 30 minutes or less2827$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2322$0
View full utilization report →

Insurance plans in this area (ZIP 38485)

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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: 0547610677View full group profile
NameSpecialtyState
Internal MedicineTX
Internal MedicineTX
Hospitalist, Internal MedicineTX
Internal MedicineTX
Internal Medicine, Hospitalist, Internal MedicineVA
H O S P I T A L I S TTX
Internal MedicineTX
Hospitalist, Internal MedicineNY
Nurse PractitionerNY
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the standard ID for DANIEL S SHAW (ACNP) in the U.S.?
In the U.S., DANIEL S SHAW (ACNP) is identified by NPI 1114493756.
Is DANIEL S SHAW (ACNP) currently accepting referrals based on NPI status?
Registry metadata lists DANIEL S SHAW (ACNP) as active.
What type of care does DANIEL S SHAW (ACNP) provide?
DANIEL S SHAW (ACNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DANIEL S SHAW (ACNP)?
DANIEL S SHAW (ACNP) is associated with Waynesboro, Tennessee in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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