JESSICA LYNN SHIELDS PA
NPI 1548828247
Physician Assistant - Medical in Rochester, NY

Q: What is Jessica Shields's NPI number?

The NPI number for Jessica Shields is 1548828247. It was assigned to this individual provider in the NPPES registry on May 29, 2019.

Q: What is Jessica Shields's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Shields was last updated on August 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 May 29, 2019PECOS EnrolledAccepts Medicare Assignment

95.19/100

CMS Quality Rating

1555 LONG POND RD, ROCHESTER, NY 14626(585) 723-7870(585) 723-7871 Get Directions Write a Review

NPPES record last updated: August 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2019, May 29, 2019 (2 updates tracked since 2019).

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About Jessica Lynn Shields Pa NPPES

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

JESSICA LYNN SHIELDS PA (NPI 1548828247) is an individual medical provider in Rochester, New York, licensed in New York (023692) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS, is affiliated with Unity Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1548828247

Entity TypeIndividualFemale

Primary Taxonomy363AM0700X

Provider Legal NameJESSICA LYNN SHIELDSCredential: PA

Location Address1555 LONG POND RDRochester, NY 14626-4122

Mailing Address1555 Long Pond RdRochester, NY 14626-4122 · (585) 723-7870 · Fax (585) 723-7871

Phone(585) 723-7870

Fax(585) 723-7871

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateMay 29, 2019

Last NPPES UpdateAugust 8, 20192 updates tracked since enumeration

✔ NPI 1548828247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in NY · 023692

1555 LONG POND RD, Rochester, NY 14626

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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

Jessica Lynn Shields Pa 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 ID1759619414

PECOS Enrollment IDI20190820002289

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unity Hospital

Acute Care Hospitals · Rochester, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330226

Location1555 Long Pond RoadRochester, NY 14626 · Monroe County

Emergency services Birthing friendly

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.

95.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

70.62

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 2

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

Walker, heavy duty, wheeled, rigid or folding, any type E0149

DME-Other DME · category DE000N

1 supplier11 claims11 services$7.23 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier30 claims30 services$7.91 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 20

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

MACKENZIE R. PETTINELLA PA

Physician Assistant (Medical)

1555 LONG POND RD, DEPT. OF MEDICINE
ROCHESTER, NY 14626

Monroe County (585) 723-7870

FAROOQ CHAUDHARY MD

Student in an Organized Health Care Education/Training Program