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JACLYN SHIELDS
NPI 1013696798
Nurse Practitioner - Family in Louisville, KY

Active since July 11, 2023PECOS Enrolled
231 E CHESTNUT ST, LOUISVILLE, KY 40202(502) 494-9521 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 25, 2024, Jan 2, 2024, Sep 6, 2023 and 1 more (4 updates tracked since 2023).

About Jaclyn Shields NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACLYN SHIELDS (NPI 1013696798) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (4008949) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013696798
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJACLYN SHIELDS
Location Address231 E CHESTNUT STLouisville, KY 40202-1821
Mailing Address205 Sunset DrLawrenceburg, KY 40342-1458 · (502) 494-9521
Phone(502) 494-9521
Sole ProprietorNo
Enumeration DateJuly 11, 2023
Last NPPES UpdateJune 25, 20244 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1013696798 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in KY · 4008949
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 1138276 (KY)
231 E CHESTNUT ST, Louisville, KY 40202
Open in Google Maps ↗

Other Names 1

Former Name (1)Jaclyn Gerard

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaclyn Shields is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jaclyn Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Norton Children's Medical Group, LLC
10 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HERON BAUMGARTEN
Surgery
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0390
SHELBYE M SCHWEINHART
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 588-0982
CYNTHIA ROMER FATA M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 456-6211
OLIVIA F MITTEL MD
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
ELIZABETH LEHTO
Pediatrics (Pediatric Emergency Medicine)
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
MICHELE NICOLE BRESLER SNOW DO
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
JESSICA EARLINE LUVISI CRNA
Nurse Anesthetist, Certified Registered
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000
TRACE ROBERTSON KIMLER
Pediatrics
231 E CHESTNUT ST
LOUISVILLE, KY 40202
Jefferson County (502) 629-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jaclyn Shields's NPI number?

The NPI number for Jaclyn Shields is 1013696798. It was assigned to this individual provider in the NPPES registry on July 11, 2023. The provider is also known as Jaclyn Gerard.

Where is Jaclyn Shields located?

Jaclyn Shields practices at 231 E Chestnut St, Louisville, KY 40202. The listed phone number is (502) 494-9521.

What is Jaclyn Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jaclyn Shields enrolled in Medicare?

Yes. Jaclyn Shields is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jaclyn Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Shields reassigns Medicare benefits to Norton Children's Medical Group, LLC (Louisville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jaclyn Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Shields accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Jaclyn Shields as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Shields was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.