Mrs Fonda Kay Shaw, FNP/CNM - Medicare Nurse Practitioner in Marysville, CA

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Mrs Fonda Kay Shaw, FNP/CNM is a medicare enrolled "Nurse Practitioner" in Marysville, California. Her current practice location is 5730 Packard Ave Ste 500, Marysville, California. You can reach out to her office (for appointments etc.) via phone at (530) 749-3242.

Mrs Fonda Kay Shaw is licensed to practice in California (license number NP12989) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114038320.

Contact Information

Mrs Fonda Kay Shaw, FNP/CNM
5730 Packard Ave Ste 500,
Marysville, CA 95901-7119
(530) 749-3242
(530) 743-5044

Map and Direction




Provider's Profile

Full NameMrs Fonda Kay Shaw
GenderFemale
SpecialityNurse Practitioner
Location5730 Packard Ave Ste 500, Marysville, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1114038320
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 01/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4587967229
  • Enrollment ID: I20240621003514

Medical Identifiers

Medical identifiers for Mrs Fonda Kay Shaw such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114038320NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 1854 (California)Secondary
363L00000XNurse Practitioner NP12989 (California)Primary

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. Mrs Fonda Kay Shaw allows following entities to bill medicare on her behalf.
Entity NamePeach Tree Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003863622
PECOS PAC ID: 7416978440
Enrollment ID: O20101104000566

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. Mrs Fonda Kay 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
Mrs Fonda Kay Shaw, FNP/CNM
1114 Yuba St Ste 220,
Marysville, CA 95901-4838

Ph: (530) 749-3242		Mrs Fonda Kay Shaw, FNP/CNM
5730 Packard Ave Ste 500,
Marysville, CA 95901-7119

Ph: (530) 749-3242

Reviews and Comments


Nurse Practitioner Nurses in Marysville, CA

Jennifer Ann Duncan, N.P
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Practice Location: 414 G St, Suite 208, Marysville, CA 95901
Phone: 530-741-1122    
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Phone: 530-743-6888    
Kristin Ruud, AGACNP-BC
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Medicare: Medicare Enrolled
Practice Location: 726 4th St, Marysville, CA 95901
Phone: 530-749-4300    
Weliya M Bajiba, APRN
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Practice Location: 414 G St Ste 208, Marysville, CA 95901
Phone: 530-741-1122    
Anna Ramirez, FNP-C
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Medicare: Medicare Enrolled
Practice Location: 726 4th St, Marysville, CA 95901
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Brianna White,
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Practice Location: 726 4th St, Marysville, CA 95901
Phone: 530-749-4304    
Michele C Tomasulo, FNP
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Medicare: Medicare Enrolled
Practice Location: 5733 Lochcarron Dr, Marysville, CA 95901
Phone: 925-408-4427    

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.