Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara M Shaw, PA-C

Individual provider Physician Assistant · NPI 1912127382

Tara M Shaw, PA-C is a Physician Assistant in Madison, Wisconsin. Qualified in 2007, 19 years ago. Practices with Sauk Prairie Healthcare Inc, a 122-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6699
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2137-23 (WI)

Record details

NPI number1912127382
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedApril 26, 2007
Last updated in NPPESDecember 12, 2020
Certification dateDecember 12, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Sauk Prairie Healthcare Inc — 122 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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