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Stacey A Shaw

Nurse Practitioner - Pediatrics β€’ Chicago, IL

Active NPI 1356973762 Individual Practitioner Female Practitioner
Practice location in NPPES

5841 S Maryland Ave
Chicago, IL 606371443

Call 8888240200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5841 S Maryland Ave

Chicago, IL 606371443

Telephone 8888240200
Organization at the Same NPPES Address or Phone
University Of Chicago Facility NPI 1821048786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2020

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Stacey Shaw has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Stacey Shaw as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

320 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Chicago, IL (687 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0.3% of these 320 clinicians have the CMS telehealth indicator.

4.1% of these 320 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-04
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES IL 209019812
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20200506001892

Enrollment State Jurisdiction

IL

PECOS Control ID

6103257175

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

37 listed
Calvin Adatsi

Nurse Practitioner - Family

NPI 1033767082
Ayman Al-Hendy

Obstetrics & Gynecology

NPI 1023184637
Stephen Bennett

Family Medicine

NPI 1013978766
Paul Chang

Radiology - Diagnostic Radiology

NPI 1023080983
Michael Davidson

Internal Medicine - Cardiovascular Disease

NPI 1023033321
Alexandra Dumitrescu

Internal Medicine

NPI 1003078049

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location March 08, 2022

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 606371443 (Tel: 8888240200)

πŸ“
Updated Business Mailing Address March 08, 2022

Registered at 150 HARVESTER DR, SUITE 300, BURR RIDGE, IL 605275919

πŸ‘€
Provider Name / Credentials Updated March 08, 2022

Recorded as STACEY SHAW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2022

Nurse Practitioner (license number reported to NPPES: IL 209019812)

βœ…
NPI Profile Active February 04, 2020

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) February 04, 2020

Registered at 5841 S MARYLAND AVE # MC6082, CHICAGO, IL 606371443 (Tel: 7738340497)

πŸ“
Business Mailing Address (Initial Record) February 04, 2020

Registered at 22 N ABERDEEN ST APT 405, CHICAGO, IL 606073043 (Tel: 9134850754)

πŸ‘€
Provider Name / Credentials (Initial Record) February 04, 2020

Recorded as STACEY SHAW, DNP

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) February 04, 2020

Registered Nurse (license number reported to NPPES: IL 041415801)

🟒
Initial NPI Registration & Enumeration February 04, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1356973762
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 04, 2020
Last Update: October 24, 2022
Sole Proprietor: No

Other Nurse Practitioner - Pediatrics Specialists in Chicago

All Nurse Practitioner - Pediatrics Specialists in Chicago

Mailing Address

150 Harvester Dr, Suite 300

Burr Ridge, IL 605275919

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.