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CHARLES JEFFREY SHIELDS DO
NPI 1679681167
Anesthesiology in Providence, UT

Active since August 26, 2006PECOS EnrolledAccepts Medicare Assignment
560 W 465 N STE 604, PROVIDENCE, UT 84332(435) 753-1600(435) 753-9521 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Charles Jeffrey Shields Do NPPES

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

CHARLES JEFFREY SHIELDS DO (NPI 1679681167) is an individual anesthesiology provider in Providence, Utah, licensed in Utah (9379328-1204) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Logan Regional Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1679681167
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameCHARLES JEFFREY SHIELDSCredential: DO
Location Address560 W 465 N STE 604Providence, UT 84332-8006
Mailing Address560 W 465 N Ste 604Providence, UT 84332-8006 · (435) 753-1600 · Fax (435) 753-9521
Phone(435) 753-1600
Fax(435) 753-9521
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 26, 2006
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1679681167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in UT · 9379328-1204
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
560 W 465 N STE 604, Providence, UT 84332
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Other Identifiers 1

Medicaid1679681167UT

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Charles Jeffrey Shields Do 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 ID7416953385
PECOS Enrollment IDI20150914001365
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 Billing Reassignment

Medicare enrollment records show Charles Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interwest Anesthesia Associates LLC
Same address
Anesthesiology
560 W 465 N STE 604
Providence, UT 84332
  • Reassigned Medicare billing, Utah enrollment
  • 29 clinicians in this Medicare group
NPI 1841214483 (435) 753-1600

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Logan Regional Hospital

Acute Care Hospitals · Logan, UT
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number460015
Location1400 North 500 EastLogan, UT 84341 · Cache County
Emergency services Birthing friendly

Cache Valley Hospital

Acute Care Hospitals · North Logan, UT
OwnershipProprietary
CMS Certification Number460054
Location2380 North 400 EastNorth Logan, UT 84341 · Cache County
Emergency services Birthing friendly

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.

CODY BRAD MICKELSEN MD
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JON R ROBISON M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
DR. MICHAEL JAMES GROVER M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JOSHUA TYLER CHRISTIANSEN M.D.
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
JACOB ROBINSON
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
GREGORY J ALLRED DO
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
STEVEN JOHN WEBER DO
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600
SHAWN M NELSON MD
Anesthesiology
560 W 465 N STE 604
PROVIDENCE, UT 84332
Cache County (435) 753-1600

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 Charles Shields's NPI number?

The NPI number for Charles Shields is 1679681167. It was assigned to this individual provider in the NPPES registry on August 26, 2006.

Where is Charles Shields located?

Charles Shields practices at 560 W 465 N Ste 604, Providence, UT 84332. The listed phone number is (435) 753-1600.

What is Charles Shields's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Charles Shields enrolled in Medicare?

Yes. Charles 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.

Which organization bills Medicare for Charles Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Shields reassigns Medicare benefits to Interwest Anesthesia Associates LLC (Providence, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Charles Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Shields accept?

Health plans from Select Health list Charles 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.

Is Charles Shields affiliated with any hospitals?

According to CMS data, Charles Shields is affiliated with Logan Regional Hospital and Cache Valley Hospital.

When was this NPI record last updated?

The NPPES record for Charles Shields was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.