Individual provider Active NPI

Elaine Annette Shields, N.P.

  • Registered Nurse
  • Newport, KY
National Provider Identifier
1316211758
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN 292465-COA1 Issued in OH
Practice address
410 Lindsey St
Newport, KY 41071-1537
Phone
(859) 750-4786
NPI assigned
Mar 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X NP COA 12960-NP OH
Acute Care Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SA2100X 2011012415 KY
Registered Nurse 163W00000X 1095041 KY
Registered Nurse 163W00000X RN 292465-COA1 OH Primary

Addresses

Primary practice location

410 Lindsey St
Newport, KY 41071-1537

Mailing address

237 William Howard Taft Rd
Cincinnati, OH 45219-2610
Phone (513) 351-9900

Other practice location 1

410 Lindsey St
Newport, KY 41071-1537
Phone (859) 750-4786

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140212000930 OH Practitioner - Nurse Practitioner 3870722911 Reassigns benefits to 2 organizations
I20150622001332 KY Practitioner - Nurse Practitioner 3870722911 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Cincinnati College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Providers of America LLCGroup PAC ID 9931529948, 97 clinicians

Practice addresses (Care Compare)

3801 E Galbraith Rd
Cincinnati, OH 45236-1583
Phone (513) 436-6699

Merit-based Incentive Payment System (MIPS)

Final score
88.71 of 100Reported as group
Quality
83.07
Promoting interoperability
100
Improvement activities
40
Cost
79.29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1095041KYMDRegistered Nurse
RN 292465-COA1OHMDRegistered Nurse
NP COA 12960-NPOHMDAcute Care Nurse Practitioner
2011012415KYMDAcute Care Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Christ Hospital PastSince Aug 31, 2019 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1330646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586822400000",
    "number": "1316211758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 WILLIAM HOWARD TAFT RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452192610",
            "telephone_number": "513-351-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LINDSEY ST",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711537",
            "telephone_number": "859-750-4786"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "410 LINDSEY ST",
            "address_purpose": "LOCATION",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "410711537",
            "country_code": "US",
            "telephone_number": "859-750-4786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ELAINE",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "N.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-02",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "NP COA 12960-NP",
            "primary": false
        },
        {
            "code": "364SA2100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Acute Care",
            "state": "KY",
            "license": "2011012415",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KY",
            "license": "1095041",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN 292465-COA1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, KY

Sources for this page

Verify at the official NPI Registry.