ABBEY BREANNA SHIELDS APRN
NPI 1942853254
Nurse Practitioner - Family in Fayetteville, AR

Active since July 17, 2019PECOS EnrolledAccepts Medicare Assignment
1100 N COLLEGE AVE, FAYETTEVILLE, AR 72703(479) 443-4301 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 2, 2020, Jul 17, 2019 (2 updates tracked since 2019).

About Abbey Breanna Shields Aprn NPPES

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

ABBEY BREANNA SHIELDS APRN (NPI 1942853254) is an individual family provider in Fayetteville, Arkansas, licensed in Arkansas (120679) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942853254
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameABBEY BREANNA SHIELDSCredential: APRN
Location Address1100 N COLLEGE AVEFayetteville, AR 72703-1944
Mailing Address1100 N College AveFayetteville, AR 72703-1944 · (479) 443-4301
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 17, 2019
Last NPPES UpdateSeptember 20, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2023
NPI 1942853254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in AR · 120679
1100 N COLLEGE AVE, Fayetteville, AR 72703

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

Abbey Breanna Shields Aprn 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 ID3375871056
PECOS Enrollment IDI20190819003009
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 72703 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$91.63 typical visit price
range $16.16 – $128.77
Typical copayment $22.90 (range $4.04 – $32.19)
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.

Family Medicine
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Internal Medicine
1100 N COLLEGE AVE, FAYETTEVILLE VAMC
FAYETTEVILLE, AR 72703
Psychiatry & Neurology (Psychiatry)
1100 N COLLEGE AVE, VETERANS HEALTH CARE SYSTEM OF THE OZARKS
FAYETTEVILLE, AR 72703
Internal Medicine
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Anesthesiology
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703
Dentist
1100 N COLLEGE AVE, DENTAL - 160
FAYETTEVILLE, AR 72703
Audiologist
1100 N COLLEGE AVE, VAMC FAYETTEVILLE AUDIOLOGY/126
FAYETTEVILLE, AR 72703
Dietitian, Registered
1100 N COLLEGE AVE
FAYETTEVILLE, AR 72703

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942853254, enumerated as an "individual" on July 17, 2019.

The provider is located at 1100 N COLLEGE AVE FAYETTEVILLE, AR 72703 and the phone number is (479) 443-4301.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.