Nicole Paulson Shields, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-01338 Issued in NC

Practice address

424 N Broad St
New Tazewell, TN 37825-6606

Phone

(423) 869-7193

Fax

(423) 869-7195

NPI assigned

Apr 16, 2008

Sex

Female

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Florida College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Covenant Medical Group IncGroup PAC ID 2860305463, 363 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Amedisys Home Health of Tennessee Home health agency, Tazewell, TN, CCN 447188
• Beacon Hospice Hospice, New Tazewell, TN, CCN 441529
• Claiborne Medical Center Hospital, Tazewell, TN, CCN 440057
• Morristown Hamblen Hospital Association Hospital, Morristown, TN, CCN 440030

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Tennessee Nursing Services of Morristown, Inc.

  • Community Based Hospice Care Agency
  • New Tazewell, TN
  • NPI 1851365233

  Contracted Managing Employee

  CMS ownership

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.

• Covenant Medical Group, Inc.

  • Family Medicine Physician
  • Knoxville, TN
  • NPI 1457302010
  Medicare reassignment Care Compare group NPD
• Apogee Medical Group Tennessee PC

  • General Practice Physician
  • Scottsdale, AZ
  • NPI 1578717682

  TN

  Medicare reassignment NPD
• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Family Medicine, TN

  Medicare reassignment NPD
• Covenant Medical Group, Inc

  • Durable Medical Equipment & Medical Supplies
  • Knoxville, TN
  • NPI 1871269415
  NPD
• Lincoln Memorial University

  • General Practice Dentistry
  • Knoxville, TN
  • NPI 1548909294
  NPD

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

• Claiborne Medical Center

  • General Acute Care Hospital
  • Tazewell, TN
  • NPI 1942205166
  Care Compare affiliation
• Comprehensive Home Healthcare Services LLC

  • Home Health Agency
  • Tazewell, TN
  • NPI 1639149586
  Care Compare affiliation
• Morristown Hamblen Hospital Association

  • General Acute Care Hospital
  • Morristown, TN
  • NPI 1912997024
  Care Compare affiliation
• Tennessee Nursing Services of Morristown, Inc.

  • Community Based Hospice Care Agency
  • New Tazewell, TN
  • NPI 1851365233
  Care Compare affiliation

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606089600000",
    "number": "1992979454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 367",
            "city": "HARROGATE",
            "state": "TN",
            "postal_code": "377520367",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256606",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "165 Westmoreland St",
            "address_purpose": "LOCATION",
            "city": "Harrogate",
            "state": "TN",
            "postal_code": "377528202",
            "country_code": "US",
            "telephone_number": "423-869-7193",
            "fax_number": "423-869-7195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Boyd School Rd",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "TN",
            "postal_code": "378131401",
            "country_code": "US",
            "telephone_number": "423-587-3407",
            "fax_number": "865-374-2150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIELDS",
        "first_name": "NICOLE",
        "middle_name": "PAULSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-16",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-01338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000615",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shields.nicole@covenanthealth.cernerdirect.com",
            "affiliation": "N",
            "address_1": "424 N Broad St",
            "city": "New Tazewell",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378256606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kay Rose, CNA
• Constance A Rosenbalm, FNP
• Jacob Runions, PT, DPT
• Kristie Nicole Satterfield, BS
• Jacob Seal, PHARMD
• Sarah Shiflett
• Hafeezul Hasan Siddiqui, MD
• Kristy N Slone, PHARM.D.
• Katherine Teresa Smith
• Leah Cobb Snodgrass, M.D.

• Family Medicine Physician in New Tazewell, TN
• Providers in New Tazewell, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.