JACQUELINE SHIELS
NPI 1831624071
Psychologist - Clinical in Fremont, CA

Q: What is Jacqueline Shiels's NPI number?

The NPI number for Jacqueline Shiels is 1831624071. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Q: What is Jacqueline Shiels's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Shiels was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 25, 2017PECOS Enrolled

39400 PASEO PADRE PKWY, FREMONT, CA 94538(510) 248-3060 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 11, 2022, Apr 25, 2017 (2 updates tracked since 2017).

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About Jacqueline Shiels NPPES

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

JACQUELINE SHIELS (NPI 1831624071) is an individual clinical provider in Fremont, California, licensed in California (28760) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831624071

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameJACQUELINE SHIELS

Location Address39400 PASEO PADRE PKWYFremont, CA 94538-2310

Mailing Address39400 Paseo Padre PkwyFremont, CA 94538-2310

Phone(510) 248-3060

Sole ProprietorYes

Enumeration DateApril 25, 2017

Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration

✔ NPI 1831624071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 28760

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

39400 PASEO PADRE PKWY, Fremont, CA 94538

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Shiels 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 Jacqueline Shiels reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc

14 mi

Internal Medicine

1190 VETERANS BLVD
Redwood City, CA 94063

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1639252604 (650) 299-2000

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 94538 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

$202.35 typical visit price

range $69.00 – $202.35

Typical copayment $50.58 (range $17.25 – $50.58)

Most-billed visit code 99205

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 20

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

MELINDA JENNY STEELE MD

Family Medicine

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 248-3000

HEUMIN LI R.PH.

Pharmacist

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 248-7577

SRILATA RAMAN M.D.

Internal Medicine

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 248-3623

MS. BARBARA TEDESCO ZEPEDA WHCNP

Registered Nurse (Women's Health Care, Ambulatory)

39400 PASEO PADRE PKWY, EMBARCADERO OB/GYN
FREMONT, CA 94538

Alameda County (510) 248-3591

CALVIN B. WHEELER MD

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 795-3000

HANNELORE MOHR MD

Internal Medicine

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 795-3000

FREDERICK G. HOM MD

Internal Medicine

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 795-3000

MANJU JACOB

Dietitian, Registered

39400 PASEO PADRE PKWY
FREMONT, CA 94538

Alameda County (510) 739-6412

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 Jacqueline Shiels's NPI number?

The NPI number for Jacqueline Shiels is 1831624071. It was assigned to this individual provider in the NPPES registry on April 25, 2017.

Where is Jacqueline Shiels located?

Jacqueline Shiels practices at 39400 Paseo Padre Pkwy, Fremont, CA 94538. The listed phone number is (510) 248-3060.

What is Jacqueline Shiels's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jacqueline Shiels enrolled in Medicare?

Yes. Jacqueline Shiels is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Shiels's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Shiels reassigns Medicare benefits to Permanente Medical Group Inc (Redwood City, CA). 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 Jacqueline Shiels's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jacqueline Shiels was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.