Individual provider Active NPI

Jessica Shields

  • Neurological Surgery Physician
  • Palm Springs, CA
National Provider Identifier
1679960140
Registry record updated Feb 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
181435 Issued in CA
Practice address
1180 N Palm Canyon Dr # E205
Palm Springs, CA 92262-4402
Phone
(760) 325-1202
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 88776 GA
Student in an Organized Health Care Education/Training Program 390200000X
Neurological Surgery Physician 207T00000X 181435 CA Primary

Addresses

Primary practice location

1180 N Palm Canyon Dr # E205
Palm Springs, CA 92262-4402

Mailing address

1180 N Palm Canyon Dr Ste E205
Palm Springs, CA 92262-4402
Phone (760) 325-1202

Other practice location 1

10030 N 25th Ave
Phoenix, AZ 85021-1660
Phone (602) 726-8805

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221000630 CA Practitioner - Neurosurgery 0446545891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Choice Physician PartnersGroup PAC ID 0941465322, 130 clinicians

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
E205
Palm Springs, CA 92262-4876
Phone (760) 325-1202

Hospital & facility affiliations

  • Desert Regional Medical Center Hospital, Palm Springs, CA, CCN 050243
  • John F Kennedy Memorial Hospital Hospital, Indio, CA, CCN 050534
  • Pioneers Memorial Healthcare District Hospital, Brawley, CA, CCN 050342
  • Hi-Desert Medical Center Hospital, Joshua Tree, CA, CCN 050279

Merit-based Incentive Payment System (MIPS)

Final score
85.6 of 100Reported as group
Quality
64.37
Promoting interoperability
100
Improvement activities
40
Cost
72.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion36
Laminectomy or laminotomy (partial removal of spine bones)17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
181435CAMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners CurrentSince Oct 1, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Oct 1, 2022 Accepting new patients
First Choice Physician Partners Neurological Surgery Current Accepting new patients
First Choice Physician Partners Neurological Surgery Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

1180 N Indian Canyon Dr
Ste E205
Palm Springs, CA 92262
Phone (760) 325-1202

1180 N Indian Canyon Dr
Ste W214
Palm Springs, CA 92262
Phone (760) 416-4545

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jshields53821@direct.emory.org
  • Direct secure messaging: jessica.shields.1@14035.direct.athenahealth.com

Organizations & group practices 5

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675382400000",
    "number": "1679960140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N PALM CANYON DR STE E205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624402",
            "telephone_number": "760-325-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 N PALM CANYON DR # E205",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624402",
            "telephone_number": "760-325-1202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10030 N 25th Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850211660",
            "country_code": "US",
            "telephone_number": "602-726-8805",
            "fax_number": "602-944-4147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "JESSICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2023-02-03",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "88776",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "181435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

Verify at the official NPI Registry.