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

Crystal Shaw, FNP

Individual provider Registered Nurse · NPI 1205430964

Crystal Shaw, FNP is a Nurse Practitioner in Oxford, Mississippi. Qualified in 2022, 4 years ago. Practices with Comprehensive Hospitalists of MS, LLC, a 36-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
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

1100 Belk Blvd
Oxford, MS 38655-5242
Phone: (662) 636-5320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F09220871 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 896703 (MS)

Record details

NPI number1205430964
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedNovember 24, 2020
Last updated in NPPESNovember 21, 2022
Certification dateNovember 21, 2022
Mailing address3042 County Road 85, Coffeeville, MS 38922-3411

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Comprehensive Hospitalists Of Ms, Llc — 36 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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