Individual provider Active NPI

Kristen Shields, CRNP

  • Family Nurse Practitioner
  • Pittsburgh, PA
National Provider Identifier
1366813446
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP015456 Issued in PA
Practice address
4727 Friendship Ave
Pittsburgh, PA 15224-1779
Phone
(412) 235-5810
NPI assigned
Oct 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP015456 PA Primary

Addresses

Primary practice location

4727 Friendship Ave
Pittsburgh, PA 15224-1779

Mailing address

311 Rouser Rd
Moon Township, PA 15108-6801
Phone (724) 638-9888

Other practice location 1

100 Moffett Run Rd
Aliquippa, PA 15001-9152
Phone (412) 604-8910

Other identifiers 1

IdentifierTypeStateIssuer
103073522MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20151211000248 PA Practitioner - Nurse Practitioner 7810298171 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
GRC Physician Services LLCGroup PAC ID 2365971777, 3 clinicians

Practice addresses (Care Compare)

100 Moffett Run Rd
Aliquippa, PA 15001-9152
Phone (412) 604-8910

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015456PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Wellcare Medical Associates L.L.C. CurrentSince Jul 1, 2020 Accepting new patients
Northern Allegheny Pain Management Center Current Accepting new patients
GRC Physician Services LLC CurrentSince Jan 2, 2025 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. CurrentSince Jun 13, 2016 Accepting new patients
Ahn Emergency Group of Canonsburg LTD. CurrentSince Aug 22, 2016 Accepting new patients
Gateway Rehabilitation Center Past Accepting new patients
Allegheny Medical Practice Network Past Accepting new patients
Gateway Rehabilitation Center-Greentree Past Accepting new patients

Locations

100 Moffett Run Rd
Aliquippa, PA 15001
Phone (412) 604-8910

101 Towne Square Way
Ste 221
Brentwood, PA 15227
Phone (412) 885-7180

100 Medical Blvd
Canonsburg, PA 15317
Phone (412) 359-4138

5061 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-6660

212 Outlet Way
Ste 1
Greensburg, PA 15601
Phone (724) 853-7300

311 Rouser Rd
Moon Twp, PA 15108

701 4th Ave
#2
New Kensington, PA 15068
Phone (724) 339-7180

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

1016 Greentree Rd
Pittsburgh, PA 15220
Phone (412) 928-5940

5987 Broad St
Pittsburgh, PA 15206
Phone (412) 697-0928

400 Penn Center Blvd
Ste 707
Pittsburgh, PA 15235
Phone (412) 829-2103

1840 Washington Rd
Washington, PA 15301
Phone (724) 916-0192

1840 Washington Rd
#19
Washington, PA 15301

6200 Brooktree Rd
Ste 210
Wexford, PA 15090
Phone (412) 559-4564

Organizations & group practices 8

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": "1444780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1366813446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 ROUSER RD",
            "city": "MOON TOWNSHIP",
            "state": "PA",
            "postal_code": "151086801",
            "telephone_number": "724-638-9888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4727 FRIENDSHIP AVE",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152241779",
            "telephone_number": "412-235-5810"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Moffett Run Rd",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150019152",
            "country_code": "US",
            "telephone_number": "412-604-8910",
            "fax_number": "724-788-5586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KRISTEN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-14",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103073522",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.