Individual provider Active NPI

Chad A Shields, APRN

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1881974129
Registry record updated May 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN122346- AP06503 Issued in LA
Practice address
1162 Oliver Road
Suite 7
Monroe, LA 71201-5755
Phone
(318) 325-7007
Fax
(318) 699-9838
NPI assigned
Aug 18, 2011
Last updated
May 8, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN122346- AP06503 LA Primary

Addresses

Primary practice location

1162 Oliver Road
Suite 7
Monroe, LA 71201-5755

Mailing address

1162 Oliver Road
Suite 7
Monroe, LA 71201-5755
Phone (318) 325-7007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20120131000786 LA Practitioner - Nurse Practitioner 3072770247 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

100 Medical Park Dr
Bernice, LA 71222-0302
Phone (318) 285-7777

409 1St St
Bernice, LA 71222-4001

PO Box
Suite 697
Bernice, LA 71222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN122346- AP06503LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ward 3 4 & 10 Hospital Service District of Parish of Union CurrentSince Mar 1, 2019 Accepting new patients
Ed Physicians of West Louisiana, LLC Nurse Practitioner CurrentSince Jan 1, 2012 Accepting new patients
Monroe Emergency Physicians LLC CurrentSince Mar 8, 2024 Accepting new patients

Locations

100 Medical Park Dr
Bernice, LA 71222
Phone (318) 285-7777

309 Jackson St
Monroe, LA 71201
Phone (318) 966-4000

503 McMillan Rd
West Monroe, LA 71291
Phone (318) 329-4200

Interoperability endpoints

  • Direct secure messaging: cshields5277337@direct.casso.us.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1881974129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1162 OLIVER ROAD",
            "address_2": "SUITE 7",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015755",
            "telephone_number": "318-325-7007",
            "fax_number": "318-699-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1162 OLIVER ROAD",
            "address_2": "SUITE 7",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015755",
            "telephone_number": "318-325-7007",
            "fax_number": "318-699-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "CHAD",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-18",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN122346- AP06503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.