Doctor profile · Federal record
Dr. Alice Shaw, FNP
Family Nurse Practitioner (CMS: Nurse Practitioner) · Family Nurse Practitioner · South Bend, IN
- NPI 1063020279
- Accepts Medicare
- 6 yrs in practice
- Licensed in 2 states
- Female
- Solo practice
- No sanctions
Practice & contact
Operates at 3 locations .
- Primary practice
-
4440 N Portage Ave
South Bend, IN 466289570
(574) 204-6200 - Additional location
-
1401 W 5Th St
Sheridan, WY 828012705
(307) 672-1000 - Additional location
-
1470 Sugarland Dr Ste 1
Sheridan, WY 828015774
(307) 673-2411
Credentials & registration
- NPI registered
- July 2020 — 6 yrs on file
- Profile last updated
- February 26, 2026
- Year of graduation
- 2020 — 6 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State licenses (2)
- Indiana #71010179A · Wyoming #58326
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1063020279. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,067
Distinct HCPCS
10
Medicare allowed
$45,197
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 245 | 191 | $101 | |
36415 |
Insertion of needle into vein for collection of blood sample | 159 | 126 | $8 | |
95249 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin | 95 | 73 | $54 | |
83036 |
Hemoglobin a1c level | 94 | 75 | $10 | |
80048 |
Blood test, basic group of blood chemicals (calcium, total) | 78 | 64 | $8 | |
84443 |
Blood test, thyroid stimulating hormone (tsh) | 65 | 57 | $16 | |
84439 |
Thyroxine (thyroid chemical), free | 59 | 51 | $9 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 44 | 37 | $71 | |
84481 |
Thyroid hormone, t3 measurement, free | 42 | 36 | $17 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 41 | 41 | $102 |
In context: peer comparison
Among 46 peers in this city , average services per provider: 109. This provider delivers 9.8× the peer median.Open Payments
Industry payments received
All-time total
$173
Transactions
9
Manufacturers
8
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Supernus Pharmaceuticals, Inc. | 2 | $27.47 | |
| ABBVIE INC. | 1 | $25.93 | |
| Astellas Pharma US Inc | 1 | $25.80 | |
| PFIZER INC. | 1 | $22.53 | |
| Boehringer Ingelheim Pharmaceuticals, Inc. | 1 | $19.53 | |
| Lilly USA, LLC | 1 | $18.67 | |
| AstraZeneca Pharmaceuticals LP | 1 | $18.27 | |
| Novo Nordisk Inc | 1 | $15.16 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
669
Patients
264
Total drug cost
$409,541
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 156 | 62 | $2,397 |
| Trulicity (Dulaglutide) | Brand | 67 | 24 | $109,931 |
| Jardiance (Empagliflozin) | Brand | 54 | 21 | $74,229 |
| Lantus Solostar (Insulin Glargine,hum.Rec.Anlog) | Brand | 49 | 23 | $36,845 |
| Ozempic (Semaglutide) | Brand | 44 | 18 | $72,454 |
| Metformin Hcl Er (Metformin Hcl) | Brand | 43 | 18 | $1,386 |
| Methimazole | Generic | 32 | 11 | $1,055 |
| Atorvastatin Calcium | Generic | 31 | 17 | $437 |
| Humalog Kwikpen U-100 (Insulin Lispro) | Brand | 30 | 15 | $58,851 |
| Amlodipine Besylate | Generic | 29 | 15 | $167 |
Frequently asked questions
What is Dr. Alice Shaw's medical specialty?
Dr. Alice Shaw practices Family Nurse Practitioner in South Bend, IN.
Where does Dr. Alice Shaw practice?
Dr. Alice Shaw practices at 4440 N Portage Ave, South Bend, IN 466289570. Office phone: 5742046200.
What is Dr. Alice Shaw's NPI?
Dr. Alice Shaw's National Provider Identifier (NPI) is 1063020279, issued by NPPES.
Does Dr. Alice Shaw accept Medicare assignment?
Yes. Dr. Alice Shaw accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Alice Shaw commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Continuous monitoring of blood sugar level in tissue fluid using sensor under skin (HCPCS 95249). Source: CMS Medicare Physician & Other Practitioners file.