JUSTIN L SHIELDS PA
NPI 1730471368
Physician Assistant in Grand Rapids, MI

Active since May 16, 2011PECOS EnrolledAccepts Medicare Assignment
25 MICHIGAN ST NE STE 5100, GRAND RAPIDS, MI 49503(616) 267-0800(616) 267-0801 Get Directions Write a Review

NPPES record last updated: October 9, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin L Shields Pa NPPES

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

JUSTIN L SHIELDS PA (NPI 1730471368) is an individual physician assistant in Grand Rapids, Michigan, licensed in Michigan (5601006017) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1730471368
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJUSTIN L SHIELDSCredential: PA
Location Address25 MICHIGAN ST NE STE 5100Grand Rapids, MI 49503-2572
Mailing Address100 Michigan St Ne Mc-845Grand Rapids, MI 49503-2560 · (616) 267-0800 · Fax (616) 267-0801
Fax(616) 267-0801
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 16, 2011
Last NPPES UpdateOctober 9, 2015
NPI 1730471368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MI · 5601006017
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.

25 MICHIGAN ST NE STE 5100, Grand Rapids, MI 49503

Other Identifiers 3

Medicare PINM33350469MI
Medicare OSCAR/certification231858MI
Medicaid1730471368MI

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

Justin L 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 ID1557548203
PECOS Enrollment IDI20110606000332
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 3

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services23 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
37 services30 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230066
Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 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.

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$5.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$92.03 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 8

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

Student in an Organized Health Care Education/Training Program
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Pharmacist (Ambulatory Care)
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503
Family Medicine
25 MICHIGAN ST NE STE 5100
GRAND RAPIDS, MI 49503

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 Justin Shields's NPI number?

The NPI number for Justin Shields is 1730471368. It was assigned to this individual provider in the NPPES registry on May 16, 2011.

Where is Justin Shields located?

Justin Shields practices at 25 Michigan St NE Ste 5100, Grand Rapids, MI 49503. The listed phone number is (616) 267-0800.

What is Justin Shields's specialty?

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

Is Justin Shields enrolled in Medicare?

Yes. Justin 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 Justin Shields accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Justin 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 Justin Shields affiliated with any hospitals?

According to CMS data, Justin Shields is affiliated with Trinity Health Muskegon Hospital.

When was this NPI record last updated?

The NPPES record for Justin Shields was last updated on October 9, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.