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

MS. Nykichia Shamon Shaw, WHNP-BC

Individual provider Women's Health Nurse Practitioner · NPI 1588412258

MS. Nykichia Shamon Shaw, WHNP-BC is a Nurse Practitioner in Raeford, North Carolina. Qualified in 2023, 3 years ago. Practices with Cape Fear Valley Health Medical Group LLC, a 330-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2024

Practice location Address checks out

300 Medical Pavilion Dr Ste 250
Raeford, NC 28376-0018
Phone: (910) 904-8035
Fax: (910) 615-9752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • Po Box 1829, Fayetteville, NC 28302-1829 — (910) 433-3600
  • 1341 Walter Reed Rd, Fayetteville, NC 28304-4415 — (910) 615-3500
  • 6387 Ramsey St Unit 240, Fayetteville, NC 28311-9442 — (910) 615-3999

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 5019848 (NC)

Record details

NPI number1588412258
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedMay 8, 2024
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cape Fear Valley Health Medical Group Llc — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount