Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alice Catherine Shaw, FNP

Individual provider Family Nurse Practitioner · NPI 1063020279

Alice Catherine Shaw, FNP is a Nurse Practitioner in South Bend, Indiana. Qualified in 2020, 6 years ago. Practices with Big Horn Health Network, a 82-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Indiana and Wyoming.

Years since qualifying
6
Licensed in
IN, WY
In the registry since
2020
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

4440 N Portage Ave
South Bend, IN 46628-9570
Phone: (574) 204-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1401 W 5th St, Sheridan, WY 82801-2705 — (307) 672-1000
  • 1470 Sugarland Dr Ste 1, Sheridan, WY 82801-5774 — (307) 673-2411

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71010179A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 58326 (WY)

Record details

NPI number1063020279
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedJuly 14, 2020
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Big Horn Health Network — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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