DEBRA LYNN SHAW NP NPI 1154494029

NPI Information

  • NPI: 1154494029
  • Provider Name: DEBRA LYNN SHAW, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3400 WEST 66TH STREET
    SUITE 290
    EDINA, MN
    ZIP 55435
  • Phone: (952) 914-1882

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NPI Details

Debra Lynn Shaw, NP is a family nurse practitioner in Edina, MN with 21 years of experience. Debra Lynn Shaw, NP NPI is 1154494029. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3400 WEST 66TH STREET
SUITE 290
EDINA, MN
ZIP 55435
Phone: (952) 914-1882
Fax: (952) 914-1727

The NPI 1154494029 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient home visit, typically 1 hour (HCPCS:99350)
  • New patient home visit, typically 1 hour (HCPCS:99344)
  • Established patient home visit, typically 40 minutes (HCPCS:99349)
  • Extended patient service without direct patient contact, first hour (HCPCS:99358)
  • Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)

The enumeration date for this NPI number is 11/16/2006 and was last updated on 3/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyR144120-2MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16409270-00MEDICAIDMINNESOTA
2500004309OTHERMINNESOTAMEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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