Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

KATHARINE SHIELDS FNP
NPI 1588210850
Nurse Practitioner - Family in Syracuse, NY

Active since August 13, 2019PECOS Enrolled
100 INTREPID LN STE 2, SYRACUSE, NY 13205(315) 637-9116 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 23, 2026, Oct 24, 2022, Aug 13, 2019 (3 updates tracked since 2019).

About Katharine Shields Fnp NPPES

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

KATHARINE SHIELDS FNP (NPI 1588210850) is an individual family provider in Syracuse, New York, licensed in New York (344404) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Fayetteville, and is a graduate of State University Of Ny Upstate Medical University (2019).

NPPES Registry Identity

NPI1588210850
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHARINE SHIELDSCredential: FNP
Location Address100 INTREPID LN STE 2Syracuse, NY 13205-2546
Mailing Address100 Intrepid Ln Ste 2Syracuse, NY 13205-2546 · (315) 637-9116
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 2019
Enumeration DateAugust 13, 2019
Last NPPES UpdateJuly 23, 20263 updates tracked since enumeration
NPPES CertifiedJuly 23, 2026
NPI 1588210850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NY · 344404
100 INTREPID LN STE 2, Syracuse, NY 13205

Secondary Practice Location 1

Location 1212 Highbridge St Ste AFayetteville, NY 13066-1981 · Phone (315) 637-9116

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katharine Shields Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567897960
PECOS Enrollment IDI20200113001380
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 16

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
613 services103 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
233 services185 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
147 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
140 services98 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
51 services36 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
51 services42 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13205 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 7

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

Social Worker
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Behavior Analyst
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Psychologist
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Behavior Technician
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Physician Assistant
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Psychologist
100 INTREPID LN STE 2
SYRACUSE, NY 13205
Social Worker
100 INTREPID LN STE 2
SYRACUSE, NY 13205

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 Katharine Shields's NPI number?

The NPI number for Katharine Shields is 1588210850. It was assigned to this individual provider in the NPPES registry on August 13, 2019.

Where is Katharine Shields located?

Katharine Shields practices at 100 Intrepid Ln Ste 2, Syracuse, NY 13205. The listed phone number is (315) 637-9116.

What is Katharine Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katharine Shields enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Katharine Shields was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.