IndividualActive
Jacob Shaw
NPI 1396513719 · Peer Specialist · Basin, WY
Jacob Shaw is a Peer Specialist provider in Basin, WY (NPI 1396513719).
Provider details
- NPI number
- 1396513719
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 143 (WY)
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
116 South 3rd Street
Basin, WY 82410
Phone: (307) 568-2020
Street-level locationGet directions
Mailing address
1114 Lane 12
Lovell, WY 82431-9555
Registry dates
- Enumerated
- 2023-12-14
- Last updated
- 2023-12-14
- Certified
- 2023-12-13
Frequently asked questions
- What is Jacob Shaw's NPI number?
- Jacob Shaw's National Provider Identifier (NPI) is 1396513719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jacob Shaw's specialty?
- Jacob Shaw is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Jacob Shaw located?
- Jacob Shaw's practice location on file with NPPES is 116 South 3rd Street, Basin, WY 82410.
- What is Jacob Shaw's phone number?
- The practice phone number listed in the NPPES registry for Jacob Shaw is (307) 568-2020.
- Is Jacob Shaw's NPI active?
- Yes — Jacob Shaw's NPI (1396513719) is active in the NPPES registry as of the last update on 2023-12-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.