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

Carly Shaw, APRN

Individual provider Nurse Practitioner · NPI 1689229809

Carly Shaw, APRN is a Nurse Practitioner in Lees Summit, Missouri. Qualified in 2019, 7 years ago. Practices with Ascentist Physicians Group LLC, a 109-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
7
Licensed in
MO
In the registry since
2019
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

4880 NE Goodview Cir
Lees Summit, MO 64064-1996
Phone: (816) 478-4200
Fax: (816) 875-2598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2019026180 (MO)

Record details

NPI number1689229809
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedAugust 5, 2019
Last updated in NPPESAugust 5, 2019
Mailing address3340 Ne Ralph Powell Rd Ste B, Lees Summit, MO 64064-2368

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Ascentist Physicians Group Llc — 109 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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