Kimberly C Shaw, FNP-BC - Medicare Nurse Practitioner in Hannibal, MO

Kimberly C Shaw, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Hannibal, Missouri. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Hannibal Regional Healthcare System Inc and her current practice location is 6500 Hospital Dr, Family Medicine, Hannibal, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 629-3400.

Kimberly C Shaw is licensed to practice in Missouri (license number 2014037315) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467854042.

Contact Information

Kimberly C Shaw, FNP-BC
6500 Hospital Dr, Family Medicine,
Hannibal, MO 63401-6890
(573) 629-3400
(573) 629-3414



Provider's Profile

Full NameKimberly C Shaw
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location6500 Hospital Dr, Hannibal, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly C Shaw graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1467854042
  • Provider Enumeration Date: 09/25/2014
  • Last Update Date: 12/02/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7416179932
  • Enrollment ID: I20141117000251

Medical Identifiers

Medical identifiers for Kimberly C Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467854042NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 146869 (Missouri)Secondary
163W00000XRegistered Nurse 041359642 (Illinois)Secondary
363LF0000XNurse Practitioner - Family 2014037315 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Hannibal Regional HospitalHannibal, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Hannibal Regional Healthcare System Inc1254236300199

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly C Shaw allows following entities to bill medicare on her behalf.
Entity NameHannibal Regional Healthcare System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134311392
PECOS PAC ID: 1254236300
Enrollment ID: O20071004000422

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly C Shaw is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly C Shaw, FNP-BC
Po Box 1257, 6500 Hospital Drive,
Hannibal, MO 63401-1257

Ph: (573) 406-5888
Kimberly C Shaw, FNP-BC
6500 Hospital Dr, Family Medicine,
Hannibal, MO 63401-6890

Ph: (573) 629-3400

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Nurse Practitioner Nurses in Hannibal, MO

Elizabeth Anne Radcliff, MSN, AGACNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6000 Hospital Dr, Hannibal, MO 63401
Phone: 573-248-5211    Fax: 573-248-5210
Mrs. Terry Shannon Thomas, APRN-FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 100 Medical Dr, Hannibal, MO 63401
Phone: 573-221-5250    Fax: 573-231-3751
Melissa L Reynolds,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3440    Fax: 573-629-3423
Lynn M Shima, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3300    Fax: 573-629-3314
Ms. Kim M Peters, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 100 Medical Dr, Hannibal, MO 63401
Phone: 573-231-3116    Fax: 573-231-3714
Diane Berry Slough, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3440    Fax: 573-629-3416
Torishia Greving, RN, MSN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 6500 Hospital Dr, Hannibal, MO 63401
Phone: 573-629-3330    Fax: 573-629-3336

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