NICOLE PAULSON SHIELDS MD
NPI 1992979454
Family Medicine in New Tazewell, TN

Active since April 16, 2008PECOS EnrolledAccepts Medicare Assignment
424 N BROAD ST, NEW TAZEWELL, TN 37825(423) 869-7193(423) 869-7195 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 23, 2020, Jun 24, 2020, Jan 13, 2020 and 2 more (5 updates tracked since 2016).

About Nicole Paulson Shields Md NPPES

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

NICOLE PAULSON SHIELDS MD (NPI 1992979454) is an individual family medicine provider in New Tazewell, Tennessee, licensed in North Carolina (2009-01338) and active in the NPI registry since April 2008. She is enrolled in Medicare PECOS, is affiliated with Morristown Hamblen Hospital Association, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992979454
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNICOLE PAULSON SHIELDSCredential: MD
Location Address424 N BROAD STNew Tazewell, TN 37825-6606
Mailing AddressPo Box 367Harrogate, TN 37752-0367 · (423) 869-7193 · Fax (423) 869-7195
Fax(423) 869-7195
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 2008
Enumeration DateApril 16, 2008
Last NPPES UpdateNovember 23, 20205 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
NPI 1992979454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2009-01338
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
424 N BROAD ST, New Tazewell, TN 37825

Secondary Practice Locations 2

Location 1165 Westmoreland StHarrogate, TN 37752-8202 · Phone (423) 869-7193 · Fax (423) 869-7195
Location 2300 Boyd School RdMorristown, TN 37813-1401 · Phone (423) 587-3407 · Fax (865) 374-2150

Other Identifiers 1

MedicaidQ000615TN

Accepted Insurance

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

Nicole Paulson Shields Md 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 ID2062680499
PECOS Enrollment IDI20130711000658
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.

Areas of Expertise CMS Part B claims 33

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
305 services49 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
284 services113 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
278 services104 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
251 services101 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
236 services103 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
108 services83 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Hamblen Hospital Association

Acute Care Hospitals · Morristown, TN
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number440030
Location908 W 4th North StMorristown, TN 37814 · Hamblen County
Emergency services Birthing friendly

Claiborne Medical Center

Acute Care Hospitals · Tazewell, TN
OwnershipGovernment - Local
CMS Certification Number440057
Location1850 Old Knoxville HighwayTazewell, TN 37879 · Claiborne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37825 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%91 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers22 claims91 services$6.24 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers14 claims14 services$44.52 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers15 claims58 services$25.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers18 claims18 services$66.34 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers17 claims17 services$20.18 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers23 claims124 services$3.12 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 11

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

Psychiatry & Neurology (Psychiatry)
424 N BROAD ST
NEW TAZEWELL, TN 37825
Neuromusculoskeletal Medicine & OMM
424 N BROAD ST
NEW TAZEWELL, TN 37825
Physician Assistant
424 N BROAD ST
NEW TAZEWELL, TN 37825
Student in an Organized Health Care Education/Training Program
424 N BROAD ST
NEW TAZEWELL, TN 37825
Internal Medicine
424 N BROAD ST
NEW TAZEWELL, TN 37825
Physician Assistant
424 N BROAD ST
NEW TAZEWELL, TN 37825
Nurse Practitioner (Psychiatric/Mental Health)
424 N BROAD ST
NEW TAZEWELL, TN 37825
Nurse Practitioner (Family)
424 N BROAD ST
NEW TAZEWELL, TN 37825

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 Nicole Shields's NPI number?

The NPI number for Nicole Shields is 1992979454. It was assigned to this individual provider in the NPPES registry on April 16, 2008.

Where is Nicole Shields located?

Nicole Shields practices at 424 N Broad St, New Tazewell, TN 37825. The listed phone number is (423) 869-7193.

What is Nicole Shields's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Shields enrolled in Medicare?

Yes. Nicole 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.

What insurance does Nicole Shields accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Nicole 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 Nicole Shields affiliated with any hospitals?

According to CMS data, Nicole Shields is affiliated with Morristown Hamblen Hospital Association and Claiborne Medical Center.

When was this NPI record last updated?

The NPPES record for Nicole Shields was last updated on November 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.