Kristin R. Shields, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

10000804A Issued in IN

Practice address

2200 Forest Ridge Pkwy Ste 310
New Castle, IN 47362-2943

Phone

(765) 599-3400

NPI assigned

Jul 22, 2006

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

Other identifiers 1

Other names 1

• Kristin Miller Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Henry County Memorial HospitalGroup PAC ID 6002724085, 153 clinicians

Cutting Edge Physical Therapy Limited PartnershipGroup PAC ID 6406869163, 109 clinicians

US Therapy IncGroup PAC ID 6507893187, 81 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry County Memorial Hospital Hospital, New Castle, IN, CCN 150030
• Reid Health Hospital, Richmond, IN, CCN 150048

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Henry County Memorial Hospital

  • Family Medicine Physician
  • New Castle, IN
  • NPI 1891570537
  Medicare reassignment Care Compare group
• New Castle Clinic Inc

  • Internal Medicine Physician
  • New Castle, IN
  • NPI 1801964960

  Physician Assistant

  Medicare reassignment NPD
• Indiana University Health Care Associates, Inc

  • General Practice Physician
  • Indianapolis, IN
  • NPI 1902032832
  Medicare reassignment
• Cutting Edge Physical Therapy Limited Partnership

  • Physical Therapist
  • Richmond, IN
  • NPI 1497794846
  Care Compare group
• US Therapy Inc.

  • Rehabilitation Clinic/Center
  • New Castle, IN
  • NPI 1841228996
  Care Compare group
• Henry County Memorial Hospital

  • Internal Medicine Physician
  • Knightstown, IN
  • NPI 1437963394
  NPD
• Henry County Memorial Hospital

  • Skilled Nursing Facility
  • Indianapolis, IN
  • NPI 1952452815
  NPD
• Indiana University Health Care Associates, Inc.

  • Registered Dietitian
  • Indianapolis, IN
  • NPI 1679949002
  NPD
• New Castle Clinic Inc

  • Durable Medical Equipment & Medical Supplies
  • New Castle, IN
  • NPI 1073289716
  NPD
• Heritage House of Richmond

  • Skilled Nursing Facility
  • Richmond, IN
  • NPI 1467590562
  NPD (past)
• Icem, LLC

  • Emergency Medicine Physician
  • Indianapolis, IN
  • NPI 1467788208
  NPD (past)
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Henry County Memorial Hospital

  • General Acute Care Hospital
  • New Castle, IN
  • NPI 1356428429
  Care Compare affiliation
• Reid Hospital & Health Care Services, Inc

  • General Acute Care Hospital
  • Richmond, IN
  • NPI 1063457380
  Care Compare affiliation

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1669493839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473620485",
            "telephone_number": "765-521-1516",
            "fax_number": "765-599-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FOREST RIDGE PKWY STE 310",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473622943",
            "telephone_number": "765-599-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KRISTIN",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IN",
            "license": "10000804A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000000794429",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shields@hcmh.cernerdirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2200 Forest Ridge Pkwy Ste 310",
            "city": "New Castle",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473622943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "MILLER",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Sandoval, CRNA
• Peter William Schram, D.C.
• Lynn Ann Schwarzkopf, LCSW
• Alyssa Semler
• Gretchen Renee Sexton
• Kevin P Short, MD
• Kyle William Siewert, M.D.
• Signal Health Management Inc
• Christina Silvers
• Craig A Simmons

• Physician Assistant in New Castle, IN
• Providers in New Castle, IN by specialty
• Physician Assistant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.