1. Home
  2. Directory
  3. Washington
  4. Pullman
  5. Pediatrics
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

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 Ambetter Health, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Maricarmen Shields reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Public Hospital District #1-A Of Whitman County
0.5 mi
Family Medicine
835 SE BISHOP BLVD
Pullman, WA 99163
  • Reassigned Medicare billing, Washington and Idaho enrollments
  • Also billed through NPI 1366446767 (Washington)
  • 151 clinicians in this Medicare group
NPI 1881475051 (509) 336-7300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 4

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)
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
KATHRYN HRYNIEWICZ
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
JONATHAN LEE M.D.
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605
MACKENZIE CLAIRE RINALDI MD
Pediatrics
1205 SE PROFESSIONAL MALL BLVD STE 104
PULLMAN, WA 99163
Whitman County (509) 332-2605

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 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..

Where is Maricarmen Shields located?

Maricarmen Shields practices at 1205 SE Professional Mall Blvd Ste 104, Pullman, WA 99163. The listed phone number is (509) 332-2605.

What is Maricarmen Shields's specialty?

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

Is Maricarmen Shields enrolled in Medicare?

Yes. Maricarmen Shields is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Maricarmen Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maricarmen Shields reassigns Medicare benefits to Public Hospital District #1-A Of Whitman County (Pullman, WA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maricarmen Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maricarmen Shields accept?

Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Maricarmen 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 Maricarmen Shields was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.