Alice Shaw, FNP
NPI 1063020279 · Family Nurse Practitioner · South Bend, IN
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Alice Shaw, FNP is a Family Nurse Practitioner provider in South Bend, IN (NPI 1063020279).
Provider details
- NPI number
- 1063020279
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 58326 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
5 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
718 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 128 | $9 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 111 | $101 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 94 | $72 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 63 | $102 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 50 | $10 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 44 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 145 | 42 |
| Atorvastatin Calcium | 127 | 48 |
| Amlodipine Besylate | 70 | 26 |
| Lisinopril | 62 | 22 |
| Simvastatin | 59 | 20 |
| Sertraline Hcl | 54 | 11 |
| Losartan Potassium | 50 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$173 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 1470 Sugarland Dr Ste 1Sheridan, WY 82801-5774Phone: (307) 673-2411
- 1401 W 5th StSheridan, WY 82801-2705Phone: (307) 672-1000
Registry dates
- Enumerated
- 2020-07-14
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Frequently asked questions
- What is Alice Shaw's NPI number?
- Alice Shaw's National Provider Identifier (NPI) is 1063020279, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Alice Shaw's specialty?
- Alice Shaw is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Alice Shaw located?
- Alice Shaw's practice location on file with NPPES is 4440 N Portage Ave, South Bend, IN 46628-9570.
- What is Alice Shaw's phone number?
- The practice phone number listed in the NPPES registry for Alice Shaw is (574) 204-6200.
- Does Alice Shaw accept Medicare?
- Alice Shaw is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Alice Shaw's NPI active?
- Yes — Alice Shaw's NPI (1063020279) is active in the NPPES registry as of the last update on 2026-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.