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

Jaclyn Shaw, PA

Individual provider Family Medicine Physician · NPI 1891761474

Jaclyn Shaw, PA is a Physician Assistant in Schenectady, New York. Qualified in 2004, 22 years ago. Practices with John M Pramenko MD PC, a 2-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
22
Licensed in
NY
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1044 State St
Schenectady, NY 12307-1508
Phone: (518) 370-1441
Fax: (518) 395-9431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 010310-1 (NY)

Record details

NPI number1891761474
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedFebruary 24, 2006
Last updated in NPPESJuly 21, 2009
Mailing address1044 State St, Schenectady, NY 12307-1508

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice John M Pramenko Md Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Schenectady