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MICHAELA SHIELDS PSYD
NPI 1053033282
Psychologist - Clinical in Boise, ID

Active since September 14, 2022PECOS EnrolledAccepts Medicare Assignment
600 N ROBBINS RD STE 100, BOISE, ID 83702(208) 381-9037(208) 385-3616 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2024, Oct 26, 2022, Sep 14, 2022 (3 updates tracked since 2022).

About Michaela Shields Psyd NPPES

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

MICHAELA SHIELDS PSYD (NPI 1053033282) is an individual clinical provider in Boise, Idaho, licensed in Idaho (9871472) and active in the NPI registry since September 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Provo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053033282
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMICHAELA SHIELDSCredential: PSYD
Location Address600 N ROBBINS RD STE 100Boise, ID 83702-4539
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-9037
Fax(208) 385-3616
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 14, 2022
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1053033282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in ID · 9871472✔ Licensed in UT · 12966160-2504
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
600 N ROBBINS RD STE 100, Boise, ID 83702
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Secondary Practice Location 1

Location 11300 E Center StProvo, UT 84606-3554 · Phone (801) 344-4215

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michaela Shields Psyd 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 ID8628511961
PECOS Enrollment IDI20251112004264
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 Reassignments

3

Medicare enrollment records show Michaela Shields reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Lukes Clinic-Treasure Valley LLC
0.3 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222
Health Clinics Of Utah
272 mi
Medical
2540 WASHINGTON BLVD, #122
Ogden, UT 84401
  • Reassigned Medicare billing, Utah enrollment
  • Medicare enrollment name: State Of Utah
  • 84 clinicians in this Medicare group
NPI 1225193584 (801) 626-3670
Lecci Psychological Services, PLLC
2,143 mi
Psychologist
219 RACINE DR STE B, MARS MEMORY HEALTH NETWORK
Wilmington, NC 28403
  • Reassigned Medicare billing, North Carolina enrollment
  • 14 clinicians in this Medicare group
NPI 1811976426 (910) 791-6277

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 83702 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
$160.17 typical visit price
range $52.44 – $160.17
Typical copayment $40.04 (range $13.11 – $40.04)
Most-billed visit code 99205
Established Patient
$93.26 typical visit price
range $16.68 – $130.93
Typical copayment $23.31 (range $4.17 – $32.73)
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 5

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

MR. SEAN W PAGE PA-C
Physician Assistant
600 N ROBBINS RD STE 100
BOISE, ID 83702
Ada County (208) 706-2663
MATTHEW HULQUIST MD
Emergency Medicine
600 N ROBBINS RD STE 100
BOISE, ID 83702
Ada County (208) 381-1615
DR. KERRIANN BOANCA MD
Internal Medicine (Hospice and Palliative Medicine)
600 N ROBBINS RD STE 100
BOISE, ID 83702
Ada County (208) 381-1615
JILL AMBER LEISER
Dietitian, Registered
600 N ROBBINS RD STE 100
BOISE, ID 83702
Ada County (208) 385-3725
DR. KRISTINE MCCORMICK PSYD
Psychologist (Clinical)
600 N ROBBINS RD STE 100
BOISE, ID 83702
Ada County (208) 381-9037

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 Michaela Shields's NPI number?

The NPI number for Michaela Shields is 1053033282. It was assigned to this individual provider in the NPPES registry on September 14, 2022.

Where is Michaela Shields located?

Michaela Shields practices at 600 N Robbins Rd Ste 100, Boise, ID 83702. The listed phone number is (208) 381-9037.

What is Michaela Shields's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Michaela Shields enrolled in Medicare?

Yes. Michaela 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.

Which organizations bill Medicare for Michaela Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michaela Shields reassigns Medicare benefits to 3 organizations: St Lukes Clinic-Treasure Valley LLC (Boise, ID), Health Clinics Of Utah (Ogden, UT) and Lecci Psychological Services, PLLC (Wilmington, NC). Each 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 Michaela Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michaela Shields accept?

Health plans from PacificSource Health Plans list Michaela 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 Michaela Shields was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.