Kevin D Shields, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

50.004569RX Issued in OH

Practice address

1661 Venture Dr
Mount Vernon, OH 43050-8928

Phone

(740) 393-9766

Fax

(740) 390-6361

NPI assigned

Jan 26, 2016

Sex

Male

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

Medicare fee-for-service enrollment

Enrolled in OH

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, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Health Network of Ohio, LLCGroup PAC ID 3173427721, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health II Home health agency, Mount Vernon, OH, CCN 368015
• Knox Community Hospital Hospital, Mount Vernon, OH, CCN 360040
• Ohiohealth Mansfield Hospital Hospital, Mansfield, OH, CCN 360118

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kshields191607@direct.optum.com

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.

• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1386675544
  Medicare reassignment Care Compare group
• American Health Network of Ohio, LLC

  • Radiology Clinic/Center
  • Columbus, OH
  • NPI 1548142987
  NPD
• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Fredericktown, OH
  • NPI 1558394726
  NPD
• American Health Network of Ohio, LLC

  • Family Medicine Physician
  • Hilliard, OH
  • NPI 1699706879
  NPD (past)

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

• Knox Community Hospital

  • General Acute Care Hospital
  • Mount Vernon, OH
  • NPI 1295761963
  Care Compare affiliation
• Medcentral Health System

  • General Acute Care Hospital
  • Mansfield, OH
  • NPI 1790837235
  Care Compare affiliation
• Medcentral Health System

  • Clinical Medical Laboratory
  • Mansfield, OH
  • NPI 1962888016

  Hospital

  Care Compare affiliation
• PF Development 15, LLC

  • Home Health Agency
  • Mount Vernon, OH
  • NPI 1821398447
  Care Compare affiliation

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1689031338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 VENTURE DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508928",
            "telephone_number": "740-393-9766",
            "fax_number": "740-390-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 VENTURE DR",
            "city": "MOUNT VERNON",
            "state": "OH",
            "postal_code": "430508928",
            "telephone_number": "740-393-9766",
            "fax_number": "740-390-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "KEVIN",
        "middle_name": "D",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-26",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.004569RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01588381",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley A Shaw, LSW
• Makayla Shaw, LSW
• Tammy J Shearn, LPN MEDS-IV
• Kirsten Sheppard
• SHHS, LLC
• Stacy Sue Shipman
• Jana Shira
• Courtney Shock
• John K Shoemaker
• Kristi Shoewalter

• Physician Assistant in Mount Vernon, OH
• Providers in Mount Vernon, OH by specialty
• Physician Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.