Individual provider

Kimberly Shaw, FNP

Family Nurse Practitioner Medicare enrolled

Kimberly Shaw, FNP is a Family Nurse Practitioner in Flowood, MS, registered under NPI 1265104095.

Getting there

The practice address on file is 232 MARKET ST, Flowood, MS 39232. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

232 MARKET ST, Flowood, MS 39232 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
2024046003 MO Family Nurse Practitioner
APRN11036441 FL Family Nurse Practitioner
APRN-4940 HI Family Nurse Practitioner
5021135 NC Family Nurse Practitioner
71017357A IN Family Nurse Practitioner
116558 NE Family Nurse Practitioner
SP033294 PA Family Nurse Practitioner
904933 MS Family Nurse Practitioner primary
GAA-NP005163 GA Family Nurse Practitioner
232090 AR Family Nurse Practitioner
1196432 TX Family Nurse Practitioner
0037972 OH Family Nurse Practitioner
86157 NM Family Nurse Practitioner
37681 TN Family Nurse Practitioner

Licences are recorded in 14 states: MO, FL, HI, NC, IN, NE, PA, MS, GA, AR, TX, OH, NM, TN. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
4082007356
Enrollment ID
I20220209000714

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 14 states

This provider holds licences in 14 states: Arkansas, Florida, Georgia, Hawaii, Indiana, Missouri, Mississippi, North Carolina, Nebraska, New Mexico, Ohio, Pennsylvania, Tennessee and Texas. The practice address on file is in Flowood, MS, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

AR Arkansas
Licence
232090
Specialty
Family Nurse Practitioner
Verify with the AR board →
FL Florida
Licence
APRN11036441
Specialty
Family Nurse Practitioner
Verify with the FL board →
GA Georgia
Licence
GAA-NP005163
Specialty
Family Nurse Practitioner
Verify with the GA board →
HI Hawaii
Licence
APRN-4940
Specialty
Family Nurse Practitioner
Verify with the HI board →
IN Indiana
Licence
71017357A
Specialty
Family Nurse Practitioner
Verify with the IN board →
MO Missouri
Licence
2024046003
Specialty
Family Nurse Practitioner
Verify with the MO board →
MS Mississippi practice address
Licence
904933
Specialty
Family Nurse Practitioner
Verify with the MS board →
NC North Carolina
Licence
5021135
Specialty
Family Nurse Practitioner
Verify with the NC board →
NE Nebraska
Licence
116558
Specialty
Family Nurse Practitioner
Verify with the NE board →
NM New Mexico
Licence
86157
Specialty
Family Nurse Practitioner
Verify with the NM board →
OH Ohio
Licence
0037972
Specialty
Family Nurse Practitioner
Verify with the OH board →
PA Pennsylvania
Licence
SP033294
Specialty
Family Nurse Practitioner
Verify with the PA board →
TN Tennessee
Licence
37681
Specialty
Family Nurse Practitioner
Verify with the TN board →
TX Texas
Licence
1196432
Specialty
Family Nurse Practitioner
Verify with the TX board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Family covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LF0000X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Family

All registered taxonomy codes

This provider registers 14 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LF0000X Family Nurse Practitioner Family 2024046003 MO
363LF0000X Family Nurse Practitioner Family APRN11036441 FL
363LF0000X Family Nurse Practitioner Family APRN-4940 HI
363LF0000X Family Nurse Practitioner Family 5021135 NC
363LF0000X Family Nurse Practitioner Family 71017357A IN
363LF0000X Family Nurse Practitioner Family 116558 NE
363LF0000X Family Nurse Practitioner Family SP033294 PA
363LF0000X Family Nurse Practitioner Family 904933 MS primary
363LF0000X Family Nurse Practitioner Family GAA-NP005163 GA
363LF0000X Family Nurse Practitioner Family 232090 AR
363LF0000X Family Nurse Practitioner Family 1196432 TX
363LF0000X Family Nurse Practitioner Family 0037972 OH
363LF0000X Family Nurse Practitioner Family 86157 NM
363LF0000X Family Nurse Practitioner Family 37681 TN

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1265104095 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateSep 30, 2021
Last updatedMay 21, 2026
StatusActive
Sole proprietorNo
GenderFemale
CredentialFNP
Practice address 232 MARKET ST
Flowood, MS 39232
(866) 849-0692
Mailing address PO BOX 211699
Eagan, MN 55121
Other names Kimberly Moore Former Legal Business Name
This record was updated on May 21, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1265104095 passes the NPI check digit test The final digit 5 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 2 6 5 1 0 4 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 2 3 5 2 0 8 0 9

Sum = 55 · next multiple of 10 = 60 · check digit = 5 · actual last digit = 5

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1265104095?
NPI 1265104095 is the National Provider Identifier assigned to Kimberly Shaw, FNP in Flowood, MS. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Family cover?
Definition to come...
How do I contact Kimberly Shaw, FNP?
The phone number on file with NPPES is (866) 849-0692, last updated May 21, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Kimberly Shaw, FNP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1265104095 a valid number?
Yes. 1265104095 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.