Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaime Deana Shaw, MSNFNP-BC

Individual provider Family Nurse Practitioner · NPI 1346974649

Jaime Deana Shaw, MSNFNP-BC is a Nurse Practitioner in Altoona, Pennsylvania. Qualified in 2022, 4 years ago. Practices with Gates Physician Services LLC, a 5-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
4
Licensed in
PA
In the registry since
2022
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Practice location Address checks out

417 Sabbath Rest Rd Ste 3
Altoona, PA 16601-7567
Phone: (814) 940-8195
Fax: (814) 940-8816
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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 SP025903 (PA)

Record details

NPI number1346974649
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSNFNP-BC
Sole proprietorYes
NPI enumeratedJuly 12, 2022
Last updated in NPPESJuly 12, 2022
Certification dateJuly 12, 2022

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 Gates Physician Services Llc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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