Active NPI
Joan Marie Shields, PA
- Medical Physician Assistant
- Onamia, MN
National Provider Identifier
1891769592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 9051
- Practice address
- 200 Elm St N
Onamia, MN 56359-7901 - Phone
- (320) 532-3154
- Fax
- (320) 532-3111
- NPI assigned
- Feb 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 9051 | MN | Primary |
Addresses
Primary practice location
200 Elm St N
Onamia, MN 56359-7901
Mailing address
200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-13466 | Other | MN | MEDICA ISLE |
| HP20623 | Other | MN | HEALTH PARTNERS |
| 01-13465 | Other | MN | MEDICA HILLMAN |
| 18358 | Other | ND | MEDICAID |
| 831785200 | Medicaid | MN | |
| 485T0SH | Other | MN | BLUE CROSS CLINIC |
| NA9091004444 | Other | MN | PREFERED ONE |
| 01-13458 | Other | MN | MEDICA ONAMIA CLINIC |
| 06F16SH | Other | MN | BLUE CROSS HOSPITAL |
| 115811 | Other | MN | UCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409875200000",
"number": "1891769592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ELM ST N",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563597901",
"telephone_number": "320-532-3154",
"fax_number": "320-532-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ELM ST N",
"city": "ONAMIA",
"state": "MN",
"postal_code": "563597901",
"telephone_number": "320-532-3154",
"fax_number": "320-532-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIELDS",
"first_name": "JOAN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-17",
"last_updated": "2014-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MN",
"license": "9051",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA ISLE",
"identifier": "01-13466",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PARTNERS",
"identifier": "HP20623",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA HILLMAN",
"identifier": "01-13465",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "18358",
"state": "ND"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "831785200",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS CLINIC",
"identifier": "485T0SH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERED ONE",
"identifier": "NA9091004444",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA ONAMIA CLINIC",
"identifier": "01-13458",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS HOSPITAL",
"identifier": "06F16SH",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "115811",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Onamia, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.