MRS. AUTUM DAWN SHAW (MSN, FNP-BC) – Nurse Practitioner, NPI 1144639170

MRS. AUTUM DAWN SHAW (MSN, FNP-BC) is a healthcare provider. based in Morristown, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials MSN, FNP-BC. They hold a License No. APN0000018876 (TN). The NPI Number for MRS. AUTUM DAWN SHAW (MSN, FNP-BC) is 1144639170

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MRS. AUTUM DAWN SHAW (MSN, FNP-BC)
NPI
1144639170
Phone
(423) 353-1070
Address
2263 SANDSTONE DR
Enumeration Date
4 August 2014
Last Update Date
18 January 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8656747454
Graduation Year
2014 (12 years ago)
PAC ID
2466764212
Group Practice PAC ID
1355416306
Professional Enrollment ID
I20150707003091
Address ID
TN378903306WH3106XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:11State licenses:2Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for MRS. AUTUM DAWN SHAW (MSN, FNP-BC)

  • 2263 SANDSTONE DR

    MORRISTOWN, TN 378142593

    Phone: (423) 353-1070

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $340.

Total Amount is formed as General ($340) + Research ($0) + Ownership ($0) = $340.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Amgen Inc. ($131).

Total Amount

$340

General + Research + Ownership

Payments

20

Total payment records

General Amount

$340

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2015-07-07

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
I20150707003091INurse PractitionerTNTBD

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
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg51685$0
99214Established patient office or other outpatient visit, 30-39 minutes264117$0
99213Established patient office or other outpatient visit, 20-29 minutes160109$0
20610Aspiration and/or injection of fluid from large joint14979$0
73562X-ray of knee, 3 views7156$0
View full utilization report →

Insurance plans in this area (ZIP 37814)

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Provider's Procedures

MRS. AUTUM DAWN SHAW (MSN, FNP-BC) performs procedures in NURSE PRACTITIONER. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NURSE PRACTITIONERTN20610Aspiration and/or injection of large joint or joint capsule226139

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: 1355416306View full group profile
NameSpecialtyState
Nurse PractitionerTN
Nurse PractitionerTN
Internal MedicineTN
Orthopedic SurgeryTN
Family PracticeTN
Family PracticeTN
Internal MedicineTN
Hospitalist, Internal MedicineTN
Sports Medicine, Orthopedic SurgeryTN
Nurse PractitionerTN

Reviews

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Frequently asked questions

What number should I use to identify MRS. AUTUM DAWN SHAW (MSN, FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1144639170 for MRS. AUTUM DAWN SHAW (MSN, FNP-BC).
Does the public listing show MRS. AUTUM DAWN SHAW (MSN, FNP-BC) as active?
MRS. AUTUM DAWN SHAW (MSN, FNP-BC)'s NPI record reflects an active status in NPPES.
What type of care does MRS. AUTUM DAWN SHAW (MSN, FNP-BC) provide?
MRS. AUTUM DAWN SHAW (MSN, FNP-BC)'s profile centers on Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. AUTUM DAWN SHAW (MSN, FNP-BC)?
The directory associates MRS. AUTUM DAWN SHAW (MSN, FNP-BC) with Morristown, Tennessee. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. AUTUM DAWN SHAW (MSN, FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.