AMY LEIGH SHAW (APRN) – Nurse Practitioner, NPI 1386155331
Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for AMY LEIGH SHAW (APRN)
400 N State Of Franklin Rd Fl 1
Johnson City, TN 376046035
Phone: (423) 431-3950
Type: Location
2017 KATELYN DR
ELIZABETHTON, TN 376433855
Phone: (615) 218-3757
Type: Mailing
2608, Live Oak Road, Nashville, Davidson County, Tennessee, 37210, United States
NASHVILLE, TN 372105428
Phone: (615) 218-3757
Type: Mailing
23rd Avenue North, Nashville, Davidson County, Tennessee, 37203, United States
NASHVILLE, TN 372031661
Phone: (615) 342-7339
Type: Location
325 N. STATE OF FRANKLIN ROAD
GROUND FL
JOHNSON CITY, TN 37604
Phone: (423) 439-7320
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: 2018-09-21
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180921002964 | I | Nurse Practitioner | TN | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 37604)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | NC | |
| Neurology, Pediatric Medicine | TN | |
| Pediatric Medicine, Hematology/Oncology | TN | |
| Hematology/Oncology, Pediatric Medicine | TN | |
| Hematology/Oncology, Pediatric Medicine | TN | |
| G A S T R O E N T E R O L O G Y | TN | |
| Nurse Practitioner | TN | |
| Hematology/Oncology, Pediatric Medicine | TN |
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