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NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP
NPI 1023104940
Counselor - Professional in Quincy, IL

Active since October 05, 2006PECOS Enrolled
1025 MAINE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Antoinette Shields Ms, Lcpc, Qmhp NPPES

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

NICOLE ANTOINETTE SHIELDS MS, LCPC, QMHP (NPI 1023104940) is an individual professional provider in Quincy, Illinois, licensed in Illinois (180006745) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023104940
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameNICOLE ANTOINETTE SHIELDSCredential: MS, LCPC, QMHP
Location Address1025 MAINE STQuincy, IL 62301-4038
Mailing Address2633 Brook DriveQuincy, IL 62301 · (217) 223-0413
Phone(217) 222-6550
Sole ProprietorNo
Enumeration DateOctober 5, 2006
Last NPPES UpdateMay 29, 2014
✔ NPI 1023104940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180006745
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
1025 MAINE ST, Quincy, IL 62301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Antoinette Shields Ms, Lcpc, Qmhp 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 Nicole Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Quincy Physicians & Surgeons Clinic, PLLC
Same address
Clinic/Center
1025 MAINE ST
Quincy, IL 62301
  • Reassigned Medicare billing, Illinois enrollment
  • 252 clinicians in this Medicare group
NPI 1548234198 (217) 222-6550

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

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.

WILLIAM J. HOLT M.D.
Orthopaedic Surgery
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
MRS. KRISTIN ELIZABETH-DANIEL THOMPSON DPT
Physical Therapist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
KATHLEEN JEAN NELSON M.S. ED.
Counselor (Professional)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
TAYLOR J. MOORE DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
ELIZABETH BAKER
Pharmacist
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
DANA B ALTMAN DO
Family Medicine
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
QUINCY PHYSICIANS & SURGEONS CLINIC, PLLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550
KATELYN M. FESSENDEN
Nurse Practitioner (Family)
1025 MAINE ST
QUINCY, IL 62301
Adams County (217) 222-6550

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 Nicole Shields's NPI number?

The NPI number for Nicole Shields is 1023104940. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Nicole Shields located?

Nicole Shields practices at 1025 Maine St, Quincy, IL 62301. The listed phone number is (217) 222-6550.

What is Nicole Shields's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Nicole Shields enrolled in Medicare?

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

Which organization bills Medicare for Nicole Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shields reassigns Medicare benefits to Quincy Physicians & Surgeons Clinic, PLLC (Quincy, IL). 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 Nicole Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Shields was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.