KATHLEEN KIMBROUGH SHIELDS CRNP
NPI 1780169037
Nurse Practitioner - Gerontology in Birmingham, AL

Active since October 02, 2018PECOS EnrolledAccepts Medicare Assignment
1201 11TH AVE S STE 305, BIRMINGHAM, AL 35205(205) 996-2770(205) 996-2733 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kathleen Kimbrough Shields Crnp NPPES

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

KATHLEEN KIMBROUGH SHIELDS CRNP (NPI 1780169037) is an individual gerontology provider in Birmingham, Alabama, licensed in Alabama (1-153586) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1780169037
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKATHLEEN KIMBROUGH SHIELDSCredential: CRNP
Location Address1201 11TH AVE S STE 305Birmingham, AL 35205-3422
Mailing AddressPo Box 55310Birmingham, AL 35255-5310 · (057) 319-7012 · Fax (057) 319-7892
Fax(205) 996-2733
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 2, 2018
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
NPI 1780169037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License Licensed in AL · 1-153586
1201 11TH AVE S STE 305, Birmingham, AL 35205

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

Kathleen Kimbrough Shields Crnp 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 ID6709130362
PECOS Enrollment IDI20181116002187
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

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.

Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
16 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35205 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 2

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

Nurse Practitioner (Family)
1201 11TH AVE S STE 305
BIRMINGHAM, AL 35205
Nurse Practitioner
1201 11TH AVE S STE 305
BIRMINGHAM, AL 35205

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 Kathleen Shields's NPI number?

The NPI number for Kathleen Shields is 1780169037. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Where is Kathleen Shields located?

Kathleen Shields practices at 1201 11th Ave S Ste 305, Birmingham, AL 35205. The listed phone number is (205) 996-2770.

What is Kathleen Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Kathleen Shields enrolled in Medicare?

Yes. Kathleen 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 Kathleen Shields accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama list Kathleen 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.

When was this NPI record last updated?

The NPPES record for Kathleen Shields was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.