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

Jonathan Shaw, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1023641743

Jonathan Shaw, PMHNP is a Nurse Practitioner in Eugene, Oregon. Qualified in 2020, 6 years ago. Practices with Lgbtq Telepsychiatry, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Nevada, Oregon and Washington and 1 more.

Years since qualifying
6
Licensed in
CA, NV, OR, WA, WY
In the registry since
2020
Specialties on file
5
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

1755 Coburg Rd Unit 301
Eugene, OR 97401-4900
Phone: (888) 468-9669
Fax: (541) 632-4858
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 202108944NP-PP (OR)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95017588 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 836571 (NV)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 47689 (WY)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP61160807 (WA)

Record details

NPI number1023641743
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESJanuary 30, 2025
Certification dateJanuary 30, 2025
Mailing address1309 Coffeen Ave Ste 1200, Sheridan, WY 82801-5777

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Lgbtq Telepsychiatry — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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