Jessica Shields, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Raleigh, North Carolina. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Md Psychiatry And Emotional Health, Triangle Springs Physician Group Llc and her current practice location is
10901 World Trade Blvd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 746-8900.
Jessica Shields is licensed to practice in North Carolina (license number 5011409) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104382639.
Physician's Profile
Full Name | Jessica Shields |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 10901 World Trade Blvd, Raleigh, North Carolina |
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Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Jessica Shields graduated from medical school in 2018
NPI Data:
- NPI Number: 1104382639
- Provider Enumeration Date: 02/20/2019
- Last Update Date: 01/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 4789926940
- Enrollment ID: I20190508003314
Medical Identifiers
Medical identifiers for Jessica Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104382639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084A0401X | Psychiatry & Neurology - Addiction Medicine | 5011409 (North Carolina) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 5011409 (North Carolina) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 5011409 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Md Psychiatry And Emotional Health | 6608296744 | 6 |
Triangle Springs Physician Group Llc | 7214283266 | 11 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Shields allows following entities to bill medicare on her behalf.
Entity Name | Triangle Springs Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1063901312 PECOS PAC ID: 7214283266 Enrollment ID: O20180703003145 |
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Entity Name | Eventus Wholehealth Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281 |
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Entity Name | Md Psychiatry And Emotional Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548875883 PECOS PAC ID: 6608296744 Enrollment ID: O20201012001820 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Shields is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jessica Shields, PMHNP 10901 World Trade Blvd, Raleigh, NC 27617-4203 Ph: (919) 746-8900 | Jessica Shields, PMHNP 10901 World Trade Blvd, Raleigh, NC 27617-4203 Ph: (919) 746-8900 |
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