Individual provider Active NPI

Marcie M Shields, FNP-C

  • Family Nurse Practitioner
  • Joplin, MO
National Provider Identifier
1407630395
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2023034366 Issued in MO
Practice address
2218 W 32ND St
Joplin, MO 64804-3514
Phone
(417) 623-5264
NPI assigned
Aug 22, 2023
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023034366 MO Primary
Registered Nurse 163W00000X 2013035981 MO

Addresses

Primary practice location

2218 W 32ND St
Joplin, MO 64804-3514

Mailing address

4870 Hemlock Rd
Reeds, MO 64859-2318

Other names 1

  • Marcie M Ward Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20231021000370 MO Practitioner - Nurse Practitioner 2567818909 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern NP Associates LLCGroup PAC ID 1557686243, 52 clinicians
CH Specialty Services Mo LLCGroup PAC ID 0345614459, 108 clinicians
Curana Health of Missouri-Kansas LLCGroup PAC ID 4789716531, 143 clinicians

Practice addresses (Care Compare)

2218 W 32ND St
Joplin, MO 64804-3514
Phone (205) 343-7300

400 SW Longview Blvd
Suite 200
Lees Summit, MO 64081-2116
Phone (337) 991-9276

403 W Main St
Good Samaritan Nursing Home
Cole Camp, MO 65325-1144
Phone (737) 226-6700

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2013035981MOMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
CH Specialty Services Mo LLC CurrentSince Oct 28, 2025 Accepting new patients
Curana Health of Missouri-Kansas LLC CurrentSince Oct 28, 2025 Accepting new patients
Southern NP Associates, LLC CurrentSince Jun 16, 2025 Accepting new patients

Locations

931 Fairfax Park
Tuscaloosa, AL 35406
Phone (205) 343-7301

403 W Main St
Cole Camp, MO 65325
Phone (660) 668-4515

2218 W 32nd St
Joplin, MO 64804
Phone (417) 623-5264

2323 E 63rd St
Kansas City, MO 64130
Phone (816) 444-8161

2885 Technology Dr
Lake St Louis, MO 63367
Phone (314) 259-1044

400 SW Longview Blvd
Ste 200
Lees Summit, MO 64081
Phone (816) 477-7200

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

1101 W Clay Rd
Versailles, MO 65084
Phone (573) 378-5312

2077 Stadium Dr
Webb City, MO 64870
Phone (417) 673-1933

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1407630395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4870 HEMLOCK RD",
            "city": "REEDS",
            "state": "MO",
            "postal_code": "648592318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648043514",
            "telephone_number": "417-623-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MARCIE",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023034366",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2013035981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIE",
            "last_name": "WARD",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.