Dr Crystal Lynn Shaw, DNP, APRN, FNP-BC - Medicare Nurse Practitioner in Clarksville, TN

Dr Crystal Lynn Shaw, DNP, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Clarksville, Tennessee. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Medical Group Pc and her current practice location is 490 Dunlop Ln, Clarksville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 245-7000.

Dr Crystal Lynn Shaw is licensed to practice in Tennessee (license number 24827) 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 1154801207.

Contact Information

Dr Crystal Lynn Shaw, DNP, APRN, FNP-BC
490 Dunlop Ln,
Clarksville, TN 37040-5007
(931) 245-7000
Not Available

Map and Direction




Provider's Profile

Full NameDr Crystal Lynn Shaw
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location490 Dunlop Ln, Clarksville, Tennessee
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:
  • Dr Crystal Lynn Shaw graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1154801207
  • Provider Enumeration Date: 08/17/2018
  • Last Update Date: 08/29/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5597001818
  • Enrollment ID: I20190108001682

Medical Identifiers

Medical identifiers for Dr Crystal Lynn Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154801207NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24827 (Tennessee)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Medical Group Pc973908408837

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. Dr Crystal Lynn Shaw allows following entities to bill medicare on her behalf.
Entity NamePremier Medical Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740242957
PECOS PAC ID: 9739084088
Enrollment ID: O20031201000512
Entity NameRc Blane Enterprises, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831302991
PECOS PAC ID: 6507963428
Enrollment ID: O20070529000387

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. Dr Crystal Lynn 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
Dr Crystal Lynn Shaw, DNP, APRN, FNP-BC
Po Box 3799,
Clarksville, TN 37043-3799

Ph: (931) 245-7000
Dr Crystal Lynn Shaw, DNP, APRN, FNP-BC
490 Dunlop Ln,
Clarksville, TN 37040-5007

Ph: (931) 245-7000

Reviews and Comments


Nurse Practitioner Nurses in Clarksville, TN

Amber L Schacht, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 881 Professional Park Dr, Clarksville, TN 37040
Phone: 931-645-4685    Fax: 931-245-2117
Mrs. Brittney Wilkinson Lesser, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 647 Dunlop Ln Ste 301, Clarksville, TN 37040
Phone: 931-431-4677    
Katherine R Harrison, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 800 Weatherly, Suite 201, Clarksville, TN 37043
Phone: 931-648-1912    Fax: 931-648-1277
Ms. Elizabeth Bator, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1100 Ted A Crozr Blvd Ste A, Clarksville, TN 37043
Phone: 931-538-3039    Fax: 931-245-5484
Danielle Reine Schaaf, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 350 Pageant Ln Ste 307, Clarksville, TN 37040
Phone: 931-906-2001    
Willie Lance Lemusu, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 103 Jefferson St, Clarksville, TN 37040
Phone: 931-266-4999    
Jennifer A Nelson, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 111 Otis Smith Dr, Clarksville, TN 37043
Phone: 931-553-6666    Fax: 931-553-4006

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.