Mary Shields, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9114019 Issued in FL

Practice address

200 3Rd Ave W Ste 210
Bradenton, FL 34205-8633

Phone

(941) 792-0340

NPI assigned

Feb 15, 2021

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

Medicare fee-for-service enrollment

Enrolled in FL

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

Physician Assistant

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Atlas Shrugged Holdings LLC/Dba Atlas UrologyGroup PAC ID 2961850755, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pinnacle Home Care Home health agency, Tampa, FL, CCN 683149
• Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
• Lakewood Ranch Medical Center Hospital, Bradenton, FL, CCN 100299

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JIGCDD/Endpoint/JIGCDD

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.

• Atlas Shrugged Holdings LLC/Dba Atlas Urology

  • Urology Physician
  • Bradenton, FL
  • NPI 1710765847
  Medicare reassignment Care Compare group
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Venice, FL
  • NPI 1316127152
  NPD (past)

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

• Lakewood Ranch Medical Center

  • General Acute Care Hospital
  • Bradenton, FL
  • NPI 1730179714
  Care Compare affiliation
• Pinnacle Home Care of Hillsborough, LLC.

  • Home Health Agency
  • Tampa, FL
  • NPI 1437663465
  Care Compare affiliation
• Sarasota County Public Hospital District

  • General Acute Care Hospital
  • Sarasota, FL
  • NPI 1245294826
  Care Compare affiliation

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

{
    "created_epoch": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1356934962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W ALFRED ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336035514",
            "telephone_number": "850-694-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 3RD AVE W STE 210",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342058633",
            "telephone_number": "941-792-0340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MARY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathaniel E Sheplak, DMD
• Ryan Patrick Shepler, PTA
• Sarah Sherba
• Roger Sherwin, DPT,ATC
• Shashidhar R Sheshani, MBBS, MD
• Shift Happens Psychiatry LLC.
• Emily Shkrab
• Samantha C. Shorey
• Shubhom RX LLC
• Sonia Milena Shuhart, LCSW

• Physician Assistant in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2021; 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.