MS. JESSICA R SHAW (AGACNP-BC) – Family Nurse Practitioner, NPI 1417969429
Family Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
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Provider Addresses for MS. JESSICA R SHAW (AGACNP-BC)
800, West Magnolia Avenue, Fort Worth, Tarrant County, Texas, 76104, United States
FORT WORTH, TX 761044611
Phone: (817) 759-7000
Fax: (817) 759-7027
Type: Location
2705, 5th Avenue, Fort Worth, Tarrant County, Texas, 76110, United States
FORT WORTH, TX 761103004
Phone: (817) 229-3665
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $1,431.
Total Amount is formed as General ($1,431) + Research ($0) + Ownership ($0) = $1,431.
Last reported payment date: 2024-12-06 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($234).
Total Amount
$1,431
General + Research + Ownership
Payments
26
Total payment records
General Amount
$1,431
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $234 |
| ABBVIE INC. | $155 |
| Sirtex Medical Inc | $146 |
| Janssen Biotech, Inc. | $140 |
| Gilead Sciences, Inc. | $129 |
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: 2020-09-23
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 |
|---|---|---|---|---|
| I20200923002027 | I | Nurse Practitioner | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 22 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 25 | 16 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 18 | 14 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 16 | 16 | $0 |
Insurance plans in this area (ZIP 76104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hematology/Oncology, Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Gynecological Oncology | TX | |
| H E M A T O L O G Y | TX | |
| - | TX | |
| H E M A T O L O G Y/ O N C O L O G Y | CA | |
| Physician Assistant | TX | |
| Internal Medicine, Hospice/Palliative Care | TX | |
| Gynecological Oncology | TX | |
| Physician Assistant | TX |
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