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MRS. ELAINE ANNETTE SHIELDS N.P.
NPI 1316211758
Registered Nurse in Newport, KY

Active since March 02, 2012PECOS EnrolledAccepts Medicare Assignment
85.49/100
CMS Quality Rating
410 LINDSEY ST, NEWPORT, KY 41071(859) 750-4786 Get Directions Write a Review

NPPES record last updated: April 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 14, 2020, Nov 25, 2019, Sep 30, 2019 (3 updates tracked since 2019).

About Mrs. Elaine Annette Shields N.p. NPPES

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

MRS. ELAINE ANNETTE SHIELDS N.P. (NPI 1316211758) is an individual registered nurse in Newport, Kentucky, licensed in Ohio (RN 292465-COA1) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of University Of Cincinnati College Of Medicine (2011).

NPPES Registry Identity

NPI1316211758
Entity TypeIndividualFemale
Primary Taxonomy163W00000X
Provider Legal NameMRS. ELAINE ANNETTE SHIELDSCredential: N.P.
Location Address410 LINDSEY STNewport, KY 41071-1537
Mailing Address237 William Howard Taft RdCincinnati, OH 45219-2610 · (513) 351-9900
Phone(859) 750-4786
Sole ProprietorYes
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2011
Enumeration DateMarch 2, 2012
Last NPPES UpdateApril 14, 20203 updates tracked since enumeration
NPPES CertifiedApril 14, 2020
✔ NPI 1316211758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
Licenses✔ Licensed in OH · RN 292465-COA1✔ Licensed in KY · 1095041
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License NP COA 12960-NP (OH)
Also ListedClinical Nurse Specialist · Acute CareTaxonomy 364SA2100X · License 2011012415 (KY)
410 LINDSEY ST, Newport, KY 41071
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare, UnitedHealthcare.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

Mrs. Elaine Annette Shields N.p. 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 ID3870722911
PECOS Enrollment IDI20140212000930
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 5

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
650 services260 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
357 services131 patients
Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes 99345
A new patient home visit is a comprehensive 75-minute appointment conducted at your home. The healthcare professional will assess your health, discuss any concerns, and create a personalized care plan. It's convenient, comfortable, and tailored to your specific needs.
159 services159 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
150 services75 patients
Simple separation of fingernail or toenail from nail bed, first nail 11730
This procedure involves the gentle removal of the first nail from its bed, often due to injury or infection. It's performed under local anesthesia to minimize discomfort. The nail will gradually regrow over time.
16 services16 patients

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.

85.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.06
Promoting Interoperability100
Improvement Activities40
Cost60.59

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
3 suppliers32 claims611 services$3.05 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
3 suppliers31 claims660 services$4.88 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
3 suppliers20 claims199 services$2.49 avg. paid by Medicare
Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
3 suppliers16 claims58 services$5.48 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
2 suppliers11 claims680 services$1.66 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims1,180 services$0.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

WOUND CARE CONNECTIONS LLC
Clinical Nurse Specialist (Acute Care)
410 LINDSEY ST
NEWPORT, KY 41071
Campbell County (859) 750-4786

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 Elaine Shields's NPI number?

The NPI number for Elaine Shields is 1316211758. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Where is Elaine Shields located?

Elaine Shields practices at 410 Lindsey St, Newport, KY 41071. The listed phone number is (859) 750-4786.

What is Elaine Shields's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Is Elaine Shields enrolled in Medicare?

Yes. Elaine 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 Elaine Shields accept?

Health plans from CareSource, Molina Healthcare and UnitedHealthcare list Elaine 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 Elaine Shields was last updated on April 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.