Individual provider Active NPI

Kasey Cristine O'Shields, MMSC, PA-C, ATC

  • Surgical Physician Assistant
  • Charleston, SC
National Provider Identifier
1043628746
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
5757 Issued in SC
Practice address
125 Doughty St Ste 280
Charleston, SC 29403-5727
Phone
(843) 720-8317
NPI assigned
Jul 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X A00635 MD
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Physician Assistant 363AS0400X 5757 SC Primary

Addresses

Primary practice location

125 Doughty St Ste 280
Charleston, SC 29403-5727

Mailing address

PO Box 751649
Charlotte, NC 28275-1649
Phone (888) 472-0043

Other names 1

  • Kasey Richardson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501001342 SC Practitioner - Physician Assistant 4789100843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

125 Doughty St
Charleston, SC 29403-5727

2075 Eagle Landing Blvd
N Charleston, SC 29406-4074
Phone (843) 789-1800

2085 Henry Tecklenburg Dr
Charleston, SC 29414-7713

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 723-6426

300 Callen Blvd
Summerville, SC 29486-2809

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 723-6426

319 Folly Rd
Charleston, SC 29412-2518
Phone (843) 723-8823

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5757SCMDProfessional Counselor
A00635MDMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Saint Francis Physicians Network CurrentSince May 19, 2025 Accepting new patients
Roper St. Francis Specialty Physicians CurrentSince Feb 1, 2026 Accepting new patients
Roper Saint Francis Physicians Network CurrentSince May 19, 2025 Accepting new patients
Roper Saint Francis Physicians Network Past Accepting new patients

Locations

2085 Henry Tecklenburg Dr
Ste 310
Charleston, SC 29414
Phone (843) 266-5500

125 Doughty St
Ste 280
Charleston, SC 29403
Phone (843) 577-6957

2097 Henry Tecklenburg Dr
Ste 211W
Charleston, SC 29414
Phone (843) 958-2555

8536 Palmetto Commerce Pkwy
Ste 501
Ladson, SC 29456
Phone (843) 203-2260

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

300 Callen Blvd
Ste 220
Summerville, SC 29486
Phone (843) 720-8369

Interoperability endpoints

  • Direct secure messaging: krichardson1238388@direct.bsmhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1043628746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751649",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751649",
            "telephone_number": "888-472-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DOUGHTY ST STE 280",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294035727",
            "telephone_number": "843-720-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'SHIELDS",
        "first_name": "KASEY",
        "middle_name": "CRISTINE",
        "credential": "MMSC, PA-C, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MD",
            "license": "A00635",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "SC",
            "license": "5757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "RICHARDSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.