Andrea Lee Shields, CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

COA 11824-NP Issued in OH

Practice address

2245 N Bank Dr
Columbus, OH 43220-5422

Phone

(614) 593-2344

NPI assigned

Oct 25, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Specialty

Nurse Practitioner

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

National Church Residences Medical HomeGroup PAC ID 7012178171, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Master of Arts

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/4416/brand/1/csg/1/fhir/r4
• Direct secure messaging: andrea.shields.1@4416.direct.athenahealth.com

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.

• National Church Residences Medical Home

  • Adult Medicine Physician
  • Columbus, OH
  • NPI 1154692838
  Medicare reassignment Care Compare group NPD
• NCR Permanent Supportive Housing Services

  • Case Management Agency
  • Columbus, OH
  • NPI 1003184367
  Medicare reassignment NPD
• National Church Residences Medical Home

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Dublin, OH
  • NPI 1356059372
  NPD

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1205136207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2019 AUTUMN WIND DR",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431237579",
            "telephone_number": "614-307-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2245 N BANK DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432205422",
            "telephone_number": "614-593-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "COA 11824-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0081056",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ganesh B Shidham, MD
• Shubhangi G Shidham, MD
• Darwin Shieh
• Suzanna Wing-Gar Shieh, PHARM.D.
• Collin Shield, M.A. CCC-SLP
• Brett Shields
• Celeste Angelique Shields
• Peter Gary Shields, MD
• Tarowyn Amber Shields, LPC
• Victoria Shields, LISW

• Family Nurse Practitioner in Columbus, OH
• Providers in Columbus, OH by specialty
• Family Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.