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KAREN M SHIELDS C.N.M
NPI 1457310781
Midwife in Elmer, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
389 HARDING HWY, SUITE 6, ELMER, NJ 08318(856) 358-1100(856) 358-1313 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 9, 2024, Feb 24, 2021, Jan 14, 2021 and 2 more (5 updates tracked since 2018).

About Karen M Shields C.n.m NPPES

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

KAREN M SHIELDS C.N.M (NPI 1457310781) is an individual midwife in Elmer, New Jersey, licensed in New Jersey (26NO09537400) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1457310781
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameKAREN M SHIELDSCredential: C.N.M
Location Address389 HARDING HWY, SUITE 6Elmer, NJ 08318-2050
Mailing Address389 Harding Hwy, Po Box 558Elmer, NJ 08318-2050 · (856) 358-1100 · Fax (856) 358-1313
Phone(856) 358-1100
Fax(856) 358-1313
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateMarch 23, 2006
Last NPPES UpdateAugust 9, 20245 updates tracked since enumeration
NPPES CertifiedAugust 9, 2024
✔ NPI 1457310781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in NJ · 26NO09537400
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
389 HARDING HWY, Elmer, NJ 08318
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1100 Independence Blvd Ste 100Sicklerville, NJ 08081-1039 · Phone (856) 341-8474 · Fax (856) 325-5003
Location 2165 Route 73Voorhees, NJ 08043-9526 · Phone (856) 341-8474 · Fax (856) 325-5003

Other Identifiers 1

Medicaid6340202NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Karen M Shields C.n.m 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 ID7113955535
PECOS Enrollment IDI20050727000982
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.

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.

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

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.

MR. JEFFREY B HEPLER PT
Physical Therapist
389 HARDING HWY, STE 2 HEARTLAND REHABILITATION SERVICES OF NEW JERSEY
PITTSGROVE, NJ 08318
Salem County (856) 358-4500
GENTLE BEGINNINGS
Midwife
389 HARDING HWY, SUITE 6
ELMER, NJ 08318
Salem County (856) 358-1100

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 Karen Shields's NPI number?

The NPI number for Karen Shields is 1457310781. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Karen Shields located?

Karen Shields practices at 389 Harding Hwy Suite 6, Elmer, NJ 08318. The listed phone number is (856) 358-1100.

What is Karen Shields's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Karen Shields enrolled in Medicare?

Yes. Karen 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 Karen Shields accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Karen 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 Karen Shields was last updated on August 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.