MARIE CAROL SHIELDS NURSE PRACTITIONER,
NPI 1255958518
Nurse Practitioner - Family in Cooper City, FL
About Marie Carol Shields Nurse Practitioner, NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARIE CAROL SHIELDS NURSE PRACTITIONER, (NPI 1255958518) is an individual family provider in Cooper City, Florida, licensed in Florida (110011858) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Waterman, and maintains a secondary practice location in Cooper City.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
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
Marie Carol Shields Nurse Practitioner, 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.
Medicare Billing Reassignment
Medicare enrollment records show Marie Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Winter Haven, FL 33884
- Reassigned Medicare billing, Florida enrollment
- 284 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Adventhealth Waterman
Acute Care Hospitals · Tavares, FLAdventhealth Tampa
Acute Care Hospitals · Tampa, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33328 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Marie Shields's NPI number?
The NPI number for Marie Shields is 1255958518. It was assigned to this individual provider in the NPPES registry on July 2, 2020. The provider is also known as Marie Shields Nurse Practitioner.
Where is Marie Shields located?
Marie Shields practices at 5036 SW 87th Ter, Cooper City, FL 33328. The listed phone number is (954) 394-9758.
What is Marie Shields's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Marie Shields enrolled in Medicare?
Yes. Marie 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 organization bills Medicare for Marie Shields's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marie Shields reassigns Medicare benefits to Adventist Health System /Sunbelt, Inc. (Winter Haven, FL). 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 Marie Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Marie Shields affiliated with any hospitals?
According to CMS data, Marie Shields is affiliated with Adventhealth Waterman and Adventhealth Tampa.
When was this NPI record last updated?
The NPPES record for Marie Shields was last updated on May 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Marie Carol Shields, NURSE PRACTITIONER, · NPI 1255958518
Family physician in Cooper City, Florida. Individual provider, active in the CMS NPPES registry since July 2, 2020.
## Identity
- **NPI:** 1255958518 (Entity type: Individual)
- **Enumerated:** July 2, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 110011858 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5036 SW 87TH TER, Cooper City, FL 33328-4334
- **Phone:** (954) 394-9758
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Adventist Health System /Sunbelt, Inc. (NPI 1013563816, Winter Haven, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** May 5, 2022
- **Other identifiers:** Other APRN11011858 (FL); Other RN--9233024 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1255958518) · Data from the CMS NPPES public registry.