Individual provider Active NPI

Tamara S Shields, CFNP

  • Family Nurse Practitioner
  • West Lafayette, IN
National Provider Identifier
1568422970
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71001447A Issued in IN
Practice address
512 Sagamore Pkwy W
West Lafayette, IN 47906-1458
Phone
(317) 873-6438
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 225280 OK
Family Nurse Practitioner 363LF0000X 0003867 CO
Family Nurse Practitioner 363LF0000X A1680D4 IA
Family Nurse Practitioner 363LF0000X 21924 AR
Family Nurse Practitioner 363LF0000X 4704386882 MI
Family Nurse Practitioner 363LF0000X 224719 LA
Family Nurse Practitioner 363LF0000X 72115 ID
Family Nurse Practitioner 363LF0000X 31449 TN
Family Nurse Practitioner 363LF0000X 114139 NE
Family Nurse Practitioner 363LF0000X 49598 WY
Family Nurse Practitioner 363LF0000X 852004 NV
Family Nurse Practitioner 363LF0000X 1085417 TX
Family Nurse Practitioner 363LF0000X 3-002229 AL
Family Nurse Practitioner 363LF0000X 71001447A IN Primary
Nurse Practitioner 363L00000X 71001447A IN

Addresses

Primary practice location

512 Sagamore Pkwy W
West Lafayette, IN 47906-1458

Mailing address

10899 S State Road 43
Brookston, IN 47923-8403
Phone (866) 387-2727

Other identifiers 1

IdentifierTypeStateIssuer
200383320MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, NE, TN, LA, NV, TX, NC, OH, OK10 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 10

Enrollment IDStateProvider typePAC IDDetails
I20040311000336 IN Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220517002740 MI Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220517002967 NE Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220524001077 TN Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220601000379 LA Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220603001631 NV Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20220720002687 TX Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20241105000186 NC Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20250407000258 OH Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization
I20251126002467 OK Practitioner - Nurse Practitioner 1658260450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Diagnostics of Indiana LLCGroup PAC ID 3072548502, 121 clinicians
MC Medical Group of Nevada, P.CGroup PAC ID 1557454410, 30 clinicians
Minuteclinic Telehealth Services of Texas AssociationGroup PAC ID 8921437427, 47 clinicians
Minuteclinic Diagnostic of Michigan PCGroup PAC ID 9133123755, 40 clinicians

Practice addresses (Care Compare)

1466 W Oak St
Zionsville, IN 46077-1800
Phone (866) 389-2727

1825 E Warm Springs Rd
Las Vegas, NV 89119-4547
Phone (866) 388-2727

1855 Gattis School Rd
Round Rock, TX 78664-7428
Phone (866) 389-2727

39350 9 Mile Rd
Northville, MI 48167-9164
Phone (866) 389-2727

4755 W Ann Rd
North Las Vegas, NV 89031-3424
Phone (866) 389-2727

9805 Geist Crossing Dr
Indianapolis, IN 46256-4819
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3-002229ALMDFamily Nurse Practitioner
21924ARMDFamily Nurse Practitioner
A1680D4IAMDFamily Nurse Practitioner
72115IDMDFamily Nurse Practitioner
71001447AINMDFamily Nurse Practitioner
224719LAMDFamily Nurse Practitioner
114139NEMDFamily Nurse Practitioner
852004NVMDFamily Nurse Practitioner
225280OKMDFamily Nurse Practitioner
1085417TXMDFamily Nurse Practitioner
49598WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Jun 21, 2022 Accepting new patients
Minuteclinic Diagnostic of Michigan PC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 26, 2024 Accepting new patients
Minuteclinic Diagnostics of Indiana, LLC Family CurrentSince Feb 27, 2010 Accepting new patients
MC Medical Group of Nevada, P.C Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic LLC Nurse Practitioner CurrentSince Jun 13, 2024 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Diagnostic of Ohio LLC Family CurrentSince Dec 29, 2024 Accepting new patients
Minuteclinic Diagnostic of Louisiana, LLC Family CurrentSince May 1, 2022 Accepting new patients
Minuteclinic Video Virtual Care, PLLC Family CurrentSince Nov 14, 2025 Accepting new patients

Locations

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

9805 Geist Crossing Dr
Indianapolis, IN 46256
Phone (317) 577-1353

512 Sagamore Pkwy W
West Lafayette, IN 47906
Phone (765) 430-7872

1466 W Oak St
Zionsville, IN 46077
Phone (317) 873-6438

7777 Bluebonnet Blvd
Ste 100
Baton Rouge, LA 70810
Phone (225) 235-0028

4401 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 891-7731

2103 Gause Blvd E
Slidell, LA 70461
Phone (985) 643-5743

39350 9 Mile Rd
Northville Township, MI 48167
Phone (248) 735-6081

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

2340 Spring Forest Rd
Raleigh, NC 27615
Phone (919) 790-6401

4755 W Ann Rd
North Las Vegas, NV 89031
Phone (702) 396-2857

4961 Roberts Rd
Hilliard, OH 43026
Phone (614) 850-2407

1520 S Bryant Ave
Edmond, OK 73013
Phone (405) 348-7980

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 11

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": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1568422970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10899 S STATE ROAD 43",
            "city": "BROOKSTON",
            "state": "IN",
            "postal_code": "479238403",
            "telephone_number": "866-387-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "512 SAGAMORE PKWY W",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061458",
            "telephone_number": "317-873-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "TAMARA",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "CFNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "225280",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0003867",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A1680D4",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "21924",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704386882",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "224719",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "72115",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "31449",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "114139",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "49598",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "852004",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1085417",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "3-002229",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71001447A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71001447A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200383320",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

Verify at the official NPI Registry.