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

Kalinda Jo Shaw

Individual provider Registered Nurse · NPI 1851961635

Kalinda Jo Shaw is a Nurse Practitioner in Marion, Illinois. Qualified in 2020, 6 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
6
Licensed in
IL
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

3411 Professional Park Dr
Marion, IL 62959-6394
Phone: (618) 969-8630
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 209023069 (IL)
Registered Nurse Taxonomy 163W00000X · Licence 041444043 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209023069 (IL)

Record details

NPI number1851961635
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 25, 2021
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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 Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Marion