Elizabeth Shields, APRN-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

36051 Issued in TN

Practice address

2150 Brookmeade Dr Ste 130
Columbia, TN 38401-4088

Phone

(931) 446-7865

NPI assigned

Feb 19, 2020

Reactivated

May 1, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Iris Medical Group

  • Primary Care Clinic/Center
  • Brentwood, TN
  • NPI 1851025902

  TN

  Medicare reassignment Care Compare group

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iris Medical Group 82 clinicians

Practice addresses (Care Compare)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1508499476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1909 HAMPSHIRE PIKE",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384015650",
            "telephone_number": "704-451-5686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BROOKMEADE DR STE 130",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384014088",
            "telephone_number": "931-446-7865"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1909 Hampshire Pike",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "TN",
            "postal_code": "384015650",
            "country_code": "US",
            "telephone_number": "704-451-5686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "ELIZABETH",
        "credential": "APRN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "deactivation_date": "2024-04-09",
        "reactivation_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "TN",
            "license": "0000229476",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "36051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Elizabeth Shelton Moon, D.O.
• Adrienne Adams Shelton
• Donna Shelton, RN
• Joanna Shepherd, M.D.
• Kathleen D Sherman, PA-C
• Robin Renea Shirey, B.S.
• William Cason Shirley, MD
• Ashley Shoemaker
• Leah Shrader
• Tracy R Shrader, PTA

• All providers in Columbia, TN
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.