KATHERINE WATERS SHIELDS NP
NPI 1023527017
Nurse Practitioner - Family in Oxford, MS

Active since September 22, 2017PECOS EnrolledAccepts Medicare Assignment
76.51/100
CMS Quality Rating
100 BAPTIST MEMORIAL CIR STE 120, OXFORD, MS 38655(662) 244-2288(662) 636-2285 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2021, Sep 22, 2017 (2 updates tracked since 2017).

About Katherine Waters Shields Np NPPES

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

KATHERINE WATERS SHIELDS NP (NPI 1023527017) is an individual family provider in Oxford, Mississippi, licensed in Mississippi (902316) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital North Ms, and maintains a secondary practice location in Oxford.

NPPES Registry Identity

NPI1023527017
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE WATERS SHIELDSCredential: NP
Location Address100 BAPTIST MEMORIAL CIR STE 120Oxford, MS 38655-4476
Mailing Address965 Ridge Lake Blvd Ste 103Memphis, TN 38120-9446 · Fax (901) 227-8591
Fax(662) 636-2285
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 22, 2017
Last NPPES UpdateFebruary 3, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2021
NPI 1023527017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · 902316
100 BAPTIST MEMORIAL CIR STE 120, Oxford, MS 38655

Other Names 1

Former Name (1)Katherine Waters Np

Secondary Practice Location 1

Location 12301 S LaMar Blvd # 140Oxford, MS 38655-5373 · Phone (662) 513-3246 · Fax (662) 513-6248

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Katherine Waters Shields Np is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5991954513
PECOS Enrollment IDI20171024002736
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
34 services30 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital North Ms

Acute Care Hospitals · Oxford, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250034
Location1100 Belk Blvd /Po Box 946Oxford, MS 38655 · Lafayette County
Emergency services Birthing friendly

Bmh-Golden Triangle

Acute Care Hospitals · Columbus, MS
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number250100
Location2520 5th Street NColumbus, MS 39705 · Lowndes County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38655 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

76.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.53
Promoting Interoperability82
Improvement Activities40
Cost66.19

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 Katherine Shields's NPI number?

The NPI number for Katherine Shields is 1023527017. It was assigned to this individual provider in the NPPES registry on September 22, 2017. The provider is also known as Katherine Waters Np.

Where is Katherine Shields located?

Katherine Shields practices at 100 Baptist Memorial Cir Ste 120, Oxford, MS 38655. The listed phone number is (662) 244-2288.

What is Katherine Shields's specialty?

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

Is Katherine Shields enrolled in Medicare?

Yes. Katherine Shields is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Katherine Shields accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 5 other insurers list Katherine 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.

Is Katherine Shields affiliated with any hospitals?

According to CMS data, Katherine Shields is affiliated with Baptist Memorial Hospital North Ms and Bmh-Golden Triangle.

When was this NPI record last updated?

The NPPES record for Katherine Shields was last updated on February 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.