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

Individual provider Family Nurse Practitioner · NPI 1770869026

Idah M. Shayo, FNP is a Nurse Practitioner in Worcester, Massachusetts. Qualified in 2011, 15 years ago. Practices with Reliant Medical Group Inc, a 638-clinician group and accepts Medicare assignment. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2011
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

630 Plantation St Wot 12th Fl
Worcester, MA 01605-2038
Phone: (508) 595-2300
Fax: (508) 853-5226
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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 RN278932 (MA)

Record details

NPI number1770869026
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 1, 2011
Last updated in NPPESNovember 1, 2011

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Reliant Medical Group Inc — 638 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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