IAN A SHIELDS PA-C
NPI 1063913853
Physician Assistant in Brainerd, MN

Q: What is Ian Shields's NPI number?

The NPI number for Ian Shields is 1063913853. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Q: What is Ian Shields's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Ian Shields was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment

2014 S 6TH ST, BRAINERD, MN 56401(218) 829-7812 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Feb 27, 2018 (2 updates tracked since 2018).

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About Ian A Shields Pa-c NPPES

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

IAN A SHIELDS PA-C (NPI 1063913853) is an individual physician assistant in Brainerd, Minnesota, licensed in Minnesota (15078) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS, is affiliated with Essentia Health St Joseph's Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063913853

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameIAN A SHIELDSCredential: PA-C

Location Address2014 S 6TH STBrainerd, MN 56401-4529

Mailing Address1702 University Dr SFargo, ND 58103-4940

Phone(218) 829-7812

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateFebruary 27, 2018

Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration

NPPES CertifiedOctober 3, 2024

✔ NPI 1063913853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in MN · 15078

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2014 S 6TH ST, Brainerd, MN 56401

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.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

Ian A Shields Pa-c 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 ID8628500485

PECOS Enrollment IDI20241017002095

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.

Hospital Affiliations CMS Care Compare

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

Essentia Health St Joseph's Medical Center

Acute Care Hospitals · Brainerd, MN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number240075

Location523 North 3rd StreetBrainerd, MN 56401 · Crow Wing County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56401 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

Most-billed visit code 99213

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 18

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

MEGAN NICOLE MARLATT KEMPF PA

Physician Assistant