Ms Amanda J Shields, ANP-PP - Medicare Nurse Practitioner in Portland, OR

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Ms Amanda J Shields, ANP-PP is a medicare enrolled "Nurse Practitioner - Adult Health" in Portland, Oregon. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premere Rehab Llc, Daiya Healthcare Pllc, Housecall Providers Pc and her current practice location is 5100 S Macadam Ave Ste 200, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (971) 202-5500.

Ms Amanda J Shields is licensed to practice in Oregon (license number 200850093NP) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417026410.

Contact Information

Ms Amanda J Shields, ANP-PP
5100 S Macadam Ave Ste 200,
Portland, OR 97239-3827
(971) 202-5500
(971) 202-5555

Map and Direction




Provider's Profile

Full NameMs Amanda J Shields
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location5100 S Macadam Ave Ste 200, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Amanda J Shields graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1417026410
  • Provider Enumeration Date: 11/06/2006
  • Last Update Date: 12/07/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8820069271
  • Enrollment ID: I20080828000374

Medical Identifiers

Medical identifiers for Ms Amanda J Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417026410NPI-NPPES
00A0220317OtherHIHMSA
5019444OtherHIUHA
550196 02MedicaidHI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health APRN-220 (Hawaii)Secondary
363LA2200XNurse Practitioner - Adult Health 200850093NP (Oregon)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Divine Mercy Home Health, LlcBeaverton, ORHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premere Rehab Llc256743476466
Daiya Healthcare Pllc600215861597
Housecall Providers Pc711329778920

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. Ms Amanda J Shields allows following entities to bill medicare on her behalf.
Entity NameHousecall Providers Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396274817
PECOS PAC ID: 7113297789
Enrollment ID: O20170714002101
Entity NameDaiya Healthcare Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20200309000992

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. Ms Amanda J 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 AddressPractice Location Address
Ms Amanda J Shields, ANP-PP
5100 S Macadam Ave Ste 200,
Portland, OR 97239-3827

Ph: (971) 202-5500		Ms Amanda J Shields, ANP-PP
5100 S Macadam Ave Ste 200,
Portland, OR 97239-3827

Ph: (971) 202-5500

Reviews and Comments


Nurse Practitioner Nurses in Portland, OR

Mrs. Anjalee Nix Rowe, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-3988    
Ms. Susan Irene Smith, RN, FNP
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Medicare: Not Enrolled in Medicare
Practice Location: 5100 Sw Macadam Ave, Suite 200, Portland, OR 97239
Phone: 971-202-5500    Fax: 971-202-5555
Iva Juric,
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Practice Location: 3181 Sw Sam Jackson Park Rd # Cdw6, Portland, OR 97239
Phone: 503-494-4808    
Ms. Jessica A Dudley, FNP
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Practice Location: 3550 N Interstate Ave, Portland, OR 97227
Phone: 503-746-1575    
Summer Morgan Massina, ARNP
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Practice Location: 721 Nw 9th Ave Ste 100, Portland, OR 97209
Phone: 503-525-0090    
Dr. Jeffery Wise, PMHNP-BC
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Medicare: Medicare Enrolled
Practice Location: 1834 Nw 25th Ave Apt 504, Portland, OR 97210
Phone: 971-354-9242    
A'lissa Richards, PMHNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 12121 E Burnside St, Portland, OR 97216
Phone: 971-361-7700    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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