MS. KELLY SHIELDS CNM
NPI 1265638993
Nurse Practitioner - Obstetrics & Gynecology in San Diego, CA

Q: What is Kelly Shields's NPI number?

The NPI number for Kelly Shields is 1265638993. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Q: What is Kelly Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Shields was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since June 21, 2007PECOS Enrolled

3343 4TH AVE, SAN DIEGO, CA 92103(619) 299-0840(619) 299-0892 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ms. Kelly Shields Cnm NPPES

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

MS. KELLY SHIELDS CNM (NPI 1265638993) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (CNM12240) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265638993

Entity TypeIndividualFemale

Primary Taxonomy363LX0001X

Provider Legal NameMS. KELLY SHIELDSCredential: CNM

Location Address3343 4TH AVESan Diego, CA 92103-5703

Mailing Address3343 4th AveSan Diego, CA 92103-5703 · (619) 299-0840 · Fax (619) 299-0892

Phone(619) 299-0840

Fax(619) 299-0892

Sole ProprietorYes

Enumeration DateJune 21, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1265638993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LX0001X

License✔ Licensed in CA · CNM12240

3343 4TH AVE, San Diego, CA 92103

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Other Identifiers 1

Other619131CA · Rn License

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kelly Shields Cnm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 2

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

MS. SHARION LEONNA STONE-ULRICH CNM

Advanced Practice Midwife

3343 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 299-0840

RACHEL KATHERINE GOODWIN CNM/NP

Advanced Practice Midwife

3343 4TH AVE
SAN DIEGO, CA 92103

San Diego County (619) 299-0840

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 Kelly Shields's NPI number?

The NPI number for Kelly Shields is 1265638993. It was assigned to this individual provider in the NPPES registry on June 21, 2007.

Where is Kelly Shields located?

Kelly Shields practices at 3343 4th Ave, San Diego, CA 92103. The listed phone number is (619) 299-0840.

What is Kelly Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

Is Kelly Shields enrolled in Medicare?

Yes. Kelly Shields is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Shields was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.