SHAYNA J BAGSHAW (RD) – Registered Dietitian, NPI 1962969931
Registered Dietitian
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for SHAYNA J BAGSHAW (RD)
556 5TH AVE APT 2
SAN FRANCISCO, CA 941183947
Phone: (520) 870-7880
Type: Mailing
117, Bon Air Road, Skylark, Larkspur, Marin County, California, 94904, United States
LARKSPUR, CA 949391138
Phone: (415) 448-1500
Type: Location
191 MAIN ST APT 1
CHARLESTOWN, MA 021293201
Phone: (520) 870-7880
Type: Location
3724 Jefferson St Ste 104
Austin, TX 787316204
Phone: (520) 870-7880
Type: Location
100 Cambridge St # 14
Boston, MA 021142509
Phone: (520) 870-7880
Type: Location
578 Main St Unit Bb
Malden, MA 021484094
Phone: (520) 870-7880
Type: Location
10260 SW Greenburg Rd # 4
Portland, OR 972235500
Phone: (520) 870-7880
Type: Location
440 Louisiana St Ste 900
Houston, TX 770021062
Phone: (520) 870-7880
Type: Location
1390 Market St Ste 200
San Francisco, CA 941025404
Phone: (520) 870-7880
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: 2024-07-16
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 |
|---|---|---|---|---|
| I20240716004429 | I | Registered Dietitian Or Nutrition Professional | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94118)
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