NICOLE MARIE SHIELDS PA-C
NPI 1073999629
Physician Assistant - Medical in Mount Clemens, MI

Active since August 05, 2015PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
133 S MAIN ST, MOUNT CLEMENS, MI 48043(586) 468-1600(586) 465-0329 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Dec 22, 2020, Mar 24, 2020 and 2 more (5 updates tracked since 2018).

About Nicole Marie Shields Pa-c NPPES

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

NICOLE MARIE SHIELDS PA-C (NPI 1073999629) is an individual medical provider in Mount Clemens, Michigan, licensed in Michigan (5601007332) and active in the NPI registry since August 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Hospital, and maintains a secondary practice location in Detroit.

NPPES Registry Identity

NPI1073999629
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameNICOLE MARIE SHIELDSCredential: PA-C
Location Address133 S MAIN STMount Clemens, MI 48043-2308
Mailing Address2689 Solution CenterChicago, IL 60677-2464 · (586) 329-1880 · Fax (586) 231-0055
Fax(586) 465-0329
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 5, 2015
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedDecember 22, 2020
NPI 1073999629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in MI · 5601007332
133 S MAIN ST, Mount Clemens, MI 48043

Other Names 1

Former Name (1)Nicole Marie Adamic Pa-c

Secondary Practice Location 1

Location 16071 W Outer DrDetroit, MI 48235-2624 · Phone (313) 966-3300

Other Identifiers 2

Other5315080570MI · Controlled Substance License
Other5601007332MI · Physician Assistant License

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

Nicole Marie 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 ID1759682503
PECOS Enrollment IDI20151221000714
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
41 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
16 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Macomb Oakland Hosp-Warren Campus

Acute Care Hospitals · Warren, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230195
Location11800 East Twelve Mile RoadWarren, MI 48093 · Macomb County
Emergency services

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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Physician Assistant (Medical)
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Specialist
133 S MAIN ST, SUITE D
MOUNT CLEMENS, MI 48043
Internal Medicine
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Specialist
133 S MAIN ST, SUITE D
MOUNT CLEMENS, MI 48043
Physician Assistant
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Internal Medicine (Cardiovascular Disease)
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Internal Medicine
133 S MAIN ST
MOUNT CLEMENS, MI 48043
Internal Medicine
133 S MAIN ST, SUITE D
MOUNT CLEMENS, MI 48043

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 1073999629. It was assigned to this individual provider in the NPPES registry on August 5, 2015. The provider is also known as Nicole Marie Adamic Pa-C.

Where is Nicole Shields located?

Nicole Shields practices at 133 S Main St, Mount Clemens, MI 48043. The listed phone number is (586) 468-1600.

What is Nicole Shields's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Nicole Shields enrolled in Medicare?

Yes. Nicole 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 Nicole Shields accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole 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 Nicole Shields affiliated with any hospitals?

According to CMS data, Nicole Shields is affiliated with Ascension St John Hospital and Ascension Macomb Oakland Hosp-Warren Campus.

When was this NPI record last updated?

The NPPES record for Nicole Shields was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.