ALEXANDRA KATHERINE SHIELDS PA
NPI 1700319647
Physician Assistant in Kalamazoo, MI

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
84.32/100
CMS Quality Rating
1722 SHAFFER ST, KALAMAZOO, MI 49048(269) 343-1555 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 8, 2025, Jan 18, 2023, Oct 27, 2022 and 3 more (6 updates tracked since 2017).

About Alexandra Katherine Shields Pa NPPES

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

ALEXANDRA KATHERINE SHIELDS PA (NPI 1700319647) is an individual physician assistant in Kalamazoo, Michigan, licensed in Michigan (5601008277) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Spectrum Health, and maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1700319647
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameALEXANDRA KATHERINE SHIELDSCredential: PA
Location Address1722 SHAFFER STKalamazoo, MI 49048-1633
Mailing Address1722 Shaffer StKalamazoo, MI 49048-1633 · (269) 343-1555
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateSeptember 8, 20256 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2025
NPI 1700319647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601008277
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.

Other Names 1

Former Name (1)Alexandra Katherine Olds Pa

Secondary Practice Location 1

Location 1221 Michigan St NE Ste 300Grand Rapids, MI 49503-2537 · Phone (616) 391-9415

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

Alexandra Katherine 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 ID648542803
PECOS Enrollment IDI20170823000365
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.

Spectrum Health

Acute Care Hospitals · Grand Rapids, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230038
Location100 Michigan St NEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.09 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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.

84.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.12
Promoting Interoperability100
Improvement Activities40
Cost69.54

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.

Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Internal Medicine (Interventional Cardiology)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Internal Medicine (Cardiovascular Disease)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Internal Medicine (Clinical Cardiac Electrophysiology)
1722 SHAFFER ST, SUITE 1
KALAMAZOO, MI 49048
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1722 SHAFFER ST, SUITE 2
KALAMAZOO, MI 49048
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1722 SHAFFER ST, SUITE 2
KALAMAZOO, MI 49048
Social Worker
1722 SHAFFER ST
KALAMAZOO, MI 49048

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 Alexandra Shields's NPI number?

The NPI number for Alexandra Shields is 1700319647. It was assigned to this individual provider in the NPPES registry on April 7, 2017. The provider is also known as Alexandra Katherine Olds PA.

Where is Alexandra Shields located?

Alexandra Shields practices at 1722 Shaffer St, Kalamazoo, MI 49048. The listed phone number is (269) 343-1555.

What is Alexandra Shields's specialty?

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

Is Alexandra Shields enrolled in Medicare?

Yes. Alexandra 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 Alexandra Shields accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Alexandra 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 Alexandra Shields affiliated with any hospitals?

According to CMS data, Alexandra Shields is affiliated with Spectrum Health.

When was this NPI record last updated?

The NPPES record for Alexandra Shields was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.