MARICARMEN STOUT SHIELDS M.D.
NPI 1831585538
Pediatrics in Pullman, WA

Q: What is Maricarmen Shields's NPI number?

The NPI number for Maricarmen Shields is 1831585538. It was assigned to this individual provider in the NPPES registry on April 9, 2015. The provider is also known as Maricarmen Stout M.D..

Q: What is Maricarmen Shields's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since April 09, 2015PECOS Enrolled

1205 SE PROFESSIONAL MALL BLVD STE 104, PULLMAN, WA 99163(509) 332-2605(509) 334-5754 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 4, 2025, Oct 30, 2018 (2 updates tracked since 2018).

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About Maricarmen Stout Shields M.d. NPPES

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

MARICARMEN STOUT SHIELDS M.D. (NPI 1831585538) is an individual pediatrics provider in Pullman, Washington, licensed in Washington (MD60853005) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Moscow.

NPPES Registry Identity

NPI1831585538

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARICARMEN STOUT SHIELDSCredential: M.D.

Location Address1205 SE PROFESSIONAL MALL BLVD STE 104Pullman, WA 99163-5423

Mailing Address840 Se Bishop Blvd Ste 101Pullman, WA 99163-5502 · (509) 332-6139 · Fax (509) 332-6579

Phone(509) 332-2605

Fax(509) 334-5754

Sole ProprietorNo

Enumeration DateApril 9, 2015

Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1831585538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in WA · MD60853005

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1205 SE PROFESSIONAL MALL BLVD STE 104, Pullman, WA 99163

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Other Names 1

Former Name (1)Maricarmen Stout M.d.

Secondary Practice Location 1

Location 11420 S Blaine St Ste 5Moscow, ID 83843-3973 · Phone (208) 882-2247 · Fax (208) 882-2292

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maricarmen Stout Shields M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99163 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 5

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

PUBLIC HOSPITAL DISTRICT #1-A OF WHITMAN COUNTY

Clinic/Center (Rural Health)