MRS. KARISSA V SHIELDS PA-C
NPI 1467843011
Physician Assistant in Clarksville, TN

Active since February 17, 2015PECOS EnrolledAccepts Medicare Assignment
111 OTIS SMITH DR, CLARKSVILLE, TN 37043(931) 553-6666(931) 553-6681 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Karissa V Shields Pa-c NPPES

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

MRS. KARISSA V SHIELDS PA-C (NPI 1467843011) is an individual physician assistant in Clarksville, Tennessee, licensed in Tennessee (6144) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1467843011
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. KARISSA V SHIELDSCredential: PA-C
Location Address111 OTIS SMITH DRClarksville, TN 37043-8940
Mailing Address111 Otis Smith DrClarksville, TN 37043-8940 · (931) 553-6666 · Fax (931) 553-6681
Fax(931) 553-6681
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 17, 2015
Last NPPES UpdateOctober 7, 2024
NPPES CertifiedOctober 7, 2024
NPI 1467843011 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in TN · 6144 Licensed in NV · PA1586
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 OTIS SMITH DR, Clarksville, TN 37043

Other Identifiers 1

Medicaid100504311NV

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

Mrs. Karissa V 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 ID7911488861
PECOS Enrollment IDI20260227002642
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 37043 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
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 17

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

Nurse Practitioner (Pediatrics)
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Nurse Practitioner (Family)
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Nurse Practitioner (Pediatrics)
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Pediatrics
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Pediatrics
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Physician Assistant
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Pediatrics
111 OTIS SMITH DR
CLARKSVILLE, TN 37043
Pediatrics
111 OTIS SMITH DR
CLARKSVILLE, TN 37043

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 Karissa Shields's NPI number?

The NPI number for Karissa Shields is 1467843011. It was assigned to this individual provider in the NPPES registry on February 17, 2015.

Where is Karissa Shields located?

Karissa Shields practices at 111 Otis Smith Dr, Clarksville, TN 37043. The listed phone number is (931) 553-6666.

What is Karissa Shields's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Karissa Shields enrolled in Medicare?

Yes. Karissa 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 Karissa Shields accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Karissa 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 Karissa Shields was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.