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DOMINQUE LACATHERINE SHIELDS APRN CNP
NPI 1720586423
Family Medicine in Fairfield, OH

Active since January 28, 2018PECOS EnrolledAccepts Medicare Assignment
211 DONALD DR STE B, FAIRFIELD, OH 45014(513) 454-1111 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jan 10, 2025, Aug 19, 2021, Apr 1, 2021 and 2 more (5 updates tracked since 2018).

About Dominque Lacatherine Shields Aprn Cnp NPPES

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

DOMINQUE LACATHERINE SHIELDS APRN CNP (NPI 1720586423) is an individual family medicine provider in Fairfield, Ohio, licensed in Ohio (APRN.CNP.022247) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS, is affiliated with Mercy Health - Fairfield Hospital, and maintains a secondary practice location in Middletown.

NPPES Registry Identity

NPI1720586423
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINQUE LACATHERINE SHIELDSCredential: APRN CNP
Location Address211 DONALD DR STE BFairfield, OH 45014-3006
Mailing AddressPo Box 837Hamilton, OH 45012-0837 · (513) 454-1111
Phone(513) 454-1111
Sole ProprietorNo
Medical School CMSOhio Medical UniversityGraduated 2017
Enumeration DateJanuary 28, 2018
Last NPPES UpdateJanuary 10, 20255 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
✔ NPI 1720586423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · APRN.CNP.022247
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
211 DONALD DR STE B, Fairfield, OH 45014
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Secondary Practice Location 1

Location 11036 S Verity PkwyMiddletown, OH 45044-5513 · Phone (513) 454-1111

Other Identifiers 1

Medicaid0442243OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Dominque Lacatherine Shields Aprn Cnp 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 ID8921354390
PECOS Enrollment IDI20180627003922
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.

Mercy Health - Fairfield Hospital

Acute Care Hospitals · Fairfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360056
Location3000 Mack RoadFairfield, OH 45014 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45014 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 3

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

DR. ADRIAN WILEY DMD
Dentist (General Practice)
211 DONALD DR STE B
FAIRFIELD, OH 45014
Butler County (513) 454-1111
DR. ABUBAKER SALIH DDS
Dentist (General Practice)
211 DONALD DR STE B
FAIRFIELD, OH 45014
Butler County (513) 454-1111
ESTHER CASH-MILLS LCSW
Counselor (Mental Health)
211 DONALD DR STE B
FAIRFIELD, OH 45014
Butler County (513) 454-1111

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 Dominque Shields's NPI number?

The NPI number for Dominque Shields is 1720586423. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Where is Dominque Shields located?

Dominque Shields practices at 211 Donald Dr Ste B, Fairfield, OH 45014. The listed phone number is (513) 454-1111.

What is Dominque Shields's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dominque Shields enrolled in Medicare?

Yes. Dominque 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 Dominque Shields accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Dominque 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 Dominque Shields affiliated with any hospitals?

According to CMS data, Dominque Shields is affiliated with Mercy Health - Fairfield Hospital.

When was this NPI record last updated?

The NPPES record for Dominque Shields was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.