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

Jordan Shaw, APRN

Individual provider Family Nurse Practitioner · NPI 1164872263

Jordan Shaw, APRN is a Nurse Practitioner in Wichita, Kansas. Qualified in 2016, 10 years ago. Practices with Cep America - Kansas LLC, a 59-clinician group and accepts Medicare assignment. Licensed in Kansas.

Years since qualifying
10
Licensed in
KS
In the registry since
2016
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

929 N Saint Francis St
Wichita, KS 67214-3821
Phone: (316) 268-8050
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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 77282 (KS)

Record details

NPI number1164872263
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJune 20, 2016
Last updated in NPPESJune 20, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Cep America - Kansas Llc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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