Abbey Breanna Shields, APRN in Fayetteville, AR

Abbey Breanna Shields, APRN is a medicare enrolled "Nurse Practitioner - Family" in Fayetteville, Arkansas. Her current practice location is 1100 N College Ave, Fayetteville, Arkansas. You can reach out to her office (for appointments etc.) via phone at (479) 443-4301.

Abbey Breanna Shields is licensed to practice in Arkansas (license number 120679) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942853254.

Contact Information

	Abbey Breanna Shields, APRN
	1100 N College Ave, Fayetteville, AR 72703-1944
	(479) 443-4301
	Not Available

Map and Direction

Provider's Profile

Full Name	Abbey Breanna Shields
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 N College Ave, Fayetteville, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942853254
Provider Enumeration Date: 07/17/2019
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 3375871056
Enrollment ID: I20190819003009

Medical Identifiers

Medical identifiers for Abbey Breanna Shields such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942853254	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	120679 (Arkansas)	Primary

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. Abbey Breanna Shields allows following entities to bill medicare on her behalf.

Entity Name	Northwest Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194768721 PECOS PAC ID: 0244213213 Enrollment ID: O20040610000882

Entity Name	Northwest Benton County Physician Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871553073 PECOS PAC ID: 3577503689 Enrollment ID: O20050509000505

Entity Name	Fayetteville Arkansas Hospital Company Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902267875 PECOS PAC ID: 1052619814 Enrollment ID: O20160601000627

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190913002365

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. Abbey Breanna 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
Abbey Breanna Shields, APRN 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301	Abbey Breanna Shields, APRN 1100 N College Ave, Fayetteville, AR 72703-1944 Ph: (479) 443-4301

Reviews and Comments

Nurse Practitioner Nurses in Fayetteville, AR

Michele L Griffin, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 641-780-8696
Durinda Pena, A.P.N. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3232 N North Hills Blvd., Fayetteville, AR 72703 Phone: 479-587-1700 Fax: 479-587-1366
Mrs. Diane H. Morrow, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2630 E Citizens Dr Ste 13, Fayetteville, AR 72703 Phone: 479-571-6000
Colby Hines, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 N College Ave, Fayetteville, AR 72703 Phone: 479-443-4301
Elizabeth Ann-grace Burns, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3344 N Futrall Dr, Fayetteville, AR 72703 Phone: 479-521-8200 Fax: 479-582-7329
Julia Marsh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 180 E Sunbridge Dr, Fayetteville, AR 72703 Phone: 479-587-5805 Fax: 479-659-7930
Miss Sarah Anne Campbell, DNP, AGAC-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3211 N Northhills Blvd, Fayetteville, AR 72703 Phone: 479-463-8740

Abbey Breanna Shields, APRN - Medicare Nurse Practitioner in Fayetteville, AR