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

Theresa Shaw, NP

Individual provider Family Nurse Practitioner · NPI 1609520055

Theresa Shaw, NP is a Nurse Practitioner in Rochester, New York. Qualified in 2019, 7 years ago. Practices with Western New York Medical Practice PC, a 528-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
7
Licensed in
NY
In the registry since
2022
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1445 Portland Ave Ste 302
Rochester, NY 14621-3008
Phone: (585) 544-1120
Fax: (585) 544-7517
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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 349389 (NY)

Record details

NPI number1609520055
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedFebruary 4, 2022
Last updated in NPPESJuly 26, 2022
Certification dateJuly 26, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Western New York Medical Practice Pc — 528 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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