MARY A. SHIELDS NP-C
NPI 1922074103
Nurse Practitioner in Schaumburg, IL

Active since February 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.22/100
CMS Quality Rating
929 W HIGGINS RD, SCHAUMBURG, IL 60195(847) 285-4200(847) 885-0130 Get Directions Write a Review

NPPES record last updated: July 6, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mary A. Shields Np-c NPPES

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

MARY A. SHIELDS NP-C (NPI 1922074103) is an individual nurse practitioner in Schaumburg, Illinois, licensed in Illinois (209-004014) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1922074103
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMARY A. SHIELDSCredential: NP-C
Location Address929 W HIGGINS RDSchaumburg, IL 60195-3203
Mailing Address929 W Higgins RdSchaumburg, IL 60195-3203 · (847) 285-4200 · Fax (847) 885-0130
Fax(847) 885-0130
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateFebruary 27, 2006
Last NPPES UpdateJuly 6, 2020
NPPES CertifiedJuly 6, 2020
✔ NPI 1922074103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209-004014
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
929 W HIGGINS RD, Schaumburg, IL 60195

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary A. Shields Np-c 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 ID7618909375
PECOS Enrollment IDI20050902000319
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 Reassignments

2

Medicare enrollment records show Mary Shields reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
929 W HIGGINS RD
Schaumburg, IL 60195
  • Reassigned Medicare billing, Illinois enrollment
  • 53 clinicians in this Medicare group
Orthopaedic Surgery
324 ROXBURY RD
Rockford, IL 61107
  • Reassigned Medicare billing, Illinois enrollment
  • 562 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
61 services61 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Alexian Brothers Medical Center 1

Acute Care Hospitals · Elk Grove Village, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140258
Location800 Biesterfield RdElk Grove Village, IL 60007 · Cook County
Emergency services Birthing friendly

St Alexius Medical Center

Acute Care Hospitals · Hoffman Estates, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140290
Location1555 N Barrington RdHoffman Estates, IL 60169 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60195 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.22/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier43 claims43 services$50.45 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 20

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

Orthopaedic Surgery
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Physical Therapy Assistant
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Specialist/Technologist (Athletic Trainer)
929 W HIGGINS RD
SCHAUMBURG, IL 60195
Occupational Therapist
929 W HIGGINS RD
SCHAUMBURG, IL 60195

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 Mary Shields's NPI number?

The NPI number for Mary Shields is 1922074103. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Mary Shields located?

Mary Shields practices at 929 W Higgins Rd, Schaumburg, IL 60195. The listed phone number is (847) 285-4200.

What is Mary Shields's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Mary Shields enrolled in Medicare?

Yes. Mary 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.

Which organizations bill Medicare for Mary Shields's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Shields reassigns Medicare benefits to 2 organizations: Barrington Orthopedic Specialists Ltd (Schaumburg, IL) and Orthomidwest, PLLC (Rockford, IL). Each 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 Mary Shields's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Shields accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mary 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 Mary Shields affiliated with any hospitals?

According to CMS data, Mary Shields is affiliated with Northwest Community Hospital 1, Alexian Brothers Medical Center 1 and St Alexius Medical Center.

When was this NPI record last updated?

The NPPES record for Mary Shields was last updated on July 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.