Katharine Shields, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

344404 Issued in NY

Practice address

100 Intrepid LN Ste 2
Syracuse, NY 13205-2546

Phone

(315) 637-9116

NPI assigned

Aug 13, 2019

Last updated

Jul 23, 2026By the provider in NPPES

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 NY

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

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2019

Medicare assignment

May accept Medicare assignment

Group practices

James C Prezzano, M.D. P.L.L.C.Group PAC ID 1456755875, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.21 of 100Reported as group

Quality

88.41

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shieldsk@fayettevillederm.emadirect.md

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.

• James C Prezzano MD PLLC

  • Dermatology Physician
  • Fayetteville, NY
  • NPI 1548844798
  Medicare reassignment Care Compare group NPD
• William G. Patrick, M.D., P.C.

  dba Fayetteville Dermatology

  • Specialist
  • Fayetteville, NY
  • NPI 1134274954
  NPD (past)

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

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1588210850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INTREPID LN STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052546",
            "telephone_number": "315-637-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INTREPID LN STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132052546",
            "telephone_number": "315-637-9116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "212 Highbridge St Ste A",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661981",
            "country_code": "US",
            "telephone_number": "315-637-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KATHARINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Sherwood, RPH
• Rishi Sheth, DO
• Yesha P Sheth, M.D
• Jason Andrew Shewchuk, MPT
• Wilson Shi
• Rebecca Shields, DO
• Sarah Ann Shiga, MD
• Mikhail Boris Shik, MD
• Tae Ho Shin
• Jay V Shingala, MBBS

• Family Nurse Practitioner in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2026; 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.