Individual provider Active NPI

Mary A. Shields, NP-C

  • Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1922074103
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209-004014 Issued in IL
Practice address
929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone
(847) 285-4200
Fax
(847) 885-0130
NPI assigned
Feb 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 209-004014 IL Primary

Addresses

Primary practice location

929 W Higgins Rd
Schaumburg, IL 60195-3203

Mailing address

929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050902000319 IL Practitioner - Nurse Practitioner 7618909375 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barrington Orthopedic Specialists LTDGroup PAC ID 5294636841, 61 clinicians
Orthomidwest, PLLCGroup PAC ID 0749183713, 531 clinicians

Practice addresses (Care Compare)

120 E Higgins Rd
Elk Grove Village, IL 60007-1434
Phone (847) 285-4200

929 W Higgins Rd
Schaumburg, IL 60195-3203
Phone (847) 285-4200

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252
  • Alexian Brothers Medical Center 1 Hospital, Elk Grove Village, IL, CCN 140258

Merit-based Incentive Payment System (MIPS)

Final score
86.69 of 100Reported as group
Quality
75.8
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209-004014ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC Current Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Orthomidwest, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Barrington Orthopedic Specialists LTD Nurse Practitioner CurrentSince Aug 16, 2010 Accepting new patients

Locations

864 W Stearns Rd
Bartlett, IL 60103
Phone (847) 285-4200

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

120 E Higgins Rd
Elk Grove Vlg, IL 60007
Phone (847) 285-4200

929 W Higgins Rd
Schaumburg, IL 60195
Phone (847) 285-4200

Organizations & group practices 4

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": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593993600000",
    "number": "1922074103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 W HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953203",
            "telephone_number": "847-285-4200",
            "fax_number": "847-885-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 W HIGGINS RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601953203",
            "telephone_number": "847-285-4200",
            "fax_number": "847-885-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "MARY",
        "middle_name": "A.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-27",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209-004014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

Verify at the official NPI Registry.