Active NPI
Nicholas James Shields, RN/CRNA
- Certified Registered Nurse Anesthetist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 2013017078
- Practice address
- 2401 Gillham Rd
Kansas City, MO 64108-4619 - Phone
- (816) 234-3000
- Fax
- (816) 302-9939
- NPI assigned
- May 13, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2013017078 | MO | Primary |
Addresses
Primary practice location
2401 Gillham Rd
Kansas City, MO 64108-4619
Mailing address
2401 Gillham Rd
Kansas City, MO 64108-4619
Phone (816) 701-5200
Other practice location 1
One Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-2568
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910007724 | Medicaid | MO | |
| P01243331 | Other | MO | MEDICARE RAILROAD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | MUDOCREFERRAL@direct.health.missouri.edu | Direct | Curators of the University of Missouri |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Columbia, MO 65212-0001
Phone (573) 882-4141
1600 E Evergreen St
Cameron, MO 64429-2400
Phone (816) 632-2101
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.23 of 100
- Quality
- 58.17
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.92
Merit-based Incentive Payment System (MIPS)
- Final score
- 58.28 of 100
- Quality
- 38.51
- Improvement activities
- 40
- Cost
- 70.39
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.82 of 100
- Quality
- 69.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Missouri Hospital Physicians, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Curators of the University of Missouri | Current | Accepting new patients | |
| The Curators of the University of Missouri | Current | Accepting new patients | |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Cameron Regional Medical Center Inc | Current | Accepting new patients | |
| Cameron Regional Medical Center, Inc. | Current | Accepting new patients |
Locations
4940 W 137th St
Overland Park, KS 66224
Phone (913) 232-9846
8800 Ballentine St
Shawnee Mission, KS 66214
Phone (816) 943-1111
1209 NW North Ridge Dr
Ste B
Blue Springs, MO 64015
Phone (816) 988-8415
1600 E Evergreen St
Cameron, MO 64429
Phone (816) 632-2101
17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122
1100 Virginia Ave
Columbia, MO 65212
Phone (573) 882-2663
305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310
1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568
1701 Lacey St
Cpe Girardeau, MO 63701
Phone (573) 334-4822
200 NE 54th St
Unit 200
Kansas City, MO 64118
211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214
4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364
12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785
4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607
9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517
Interoperability endpoints
- nshields345110@direct.nebraskamed.com
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
- Multi-Specialty Clinic/Center
- Columbia, MO
- NPI 1235126921
-
- Family Medicine Physician
- Cape Girardeau, MO
- NPI 1558311522
Nurse Anesthetist, Certified Registered
-
- Rural Health Clinic/Center
- King City, MO
- NPI 1861269318
-
- Durable Medical Equipment & Medical Supplies
- Columbia, MO
- NPI 1356963201
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cameron, MO
- NPI 1811905375
-
- Rehabilitation Hospital Unit
- Cameron, MO
- NPI 1215076393
-
- Psychiatric Hospital Unit
- Cameron, MO
- NPI 1598804676
-
- General Acute Care Hospital
- Jefferson City, MO
- NPI 1174597892
-
- General Acute Care Hospital
- Columbia, MO
- NPI 1699769901
-
- General Acute Care Hospital
- Warrensburg, MO
- NPI 1083601330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1710323191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-701-5200",
"fax_number": "816-302-9939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 GILLHAM RD",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641084619",
"telephone_number": "816-234-3000",
"fax_number": "816-302-9939"
}
],
"practiceLocations": [
{
"address_1": "One Hospital Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "MO",
"postal_code": "652120001",
"country_code": "US",
"telephone_number": "573-882-2568",
"fax_number": "855-903-0985",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIELDS",
"first_name": "NICHOLAS",
"middle_name": "JAMES",
"credential": "RN/CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-13",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MO",
"license": "2013017078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "910007724",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P01243331",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
"affiliation": "Y",
"endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals.",
"affiliationName": "Curators of the University of Missouri",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Direct",
"address_1": "One Hospital Drive",
"city": "Columbia",
"state": "MO",
"country_code": "US",
"postal_code": "65212",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.