DR. TAMARA S SHIELDS (CFNP) – Family Nurse Practitioner, NPI 1568422970

DR. TAMARA S SHIELDS (CFNP) is a healthcare provider. based in West lafayette, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials CFNP. They hold a License No. 225280 (OK). The NPI Number for DR. TAMARA S SHIELDS (CFNP) is 1568422970

Main info

Female
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. TAMARA S SHIELDS (CFNP)
NPI
1568422970
Phone
(317) 873-6438
Address
512 SAGAMORE PKWY W
Enumeration Date
28 March 2006
Last Update Date
13 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8663892727
Graduation Year
2002 (24 years ago)
PAC ID
1658260450
Group Practice PAC ID
1557454410
Professional Enrollment ID
I20220603001631
Address ID
NV890313424NO4755XRDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience95
Completeness85
Years active:20State licenses:14Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for DR. TAMARA S SHIELDS (CFNP)

  • 512 SAGAMORE PKWY W

    WEST LAFAYETTE, IN 479061458

    Phone: (317) 873-6438

    Type: Location

  • 1466, West Oak Street, Zionsville, Boone County, Indiana, 46077, United States

    ZIONSVILLE, IN 460771800

    Phone: (317) 873-6438

    Type: Location

  • 10899 S STATE ROAD 43

    BROOKSTON, IN 479238403

    Phone: (866) 387-2727

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 11 Medicare enrollment records; no due dates published yet.

Enrollment records

11

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040311000336INurse PractitionerINTBD
I20220517002740INurse PractitionerMITBD
I20220517002967INurse PractitionerNETBD
I20220524001077INurse PractitionerTNTBD
I20220601000379INurse PractitionerLATBD
I20220603001631INurse PractitionerNVTBD
I20220720002687INurse PractitionerTXTBD
I20240627002477INurse PractitionerFLTBD
I20241105000186INurse PractitionerNCTBD
I20250407000258INurse PractitionerOHTBD
I20251126002467INurse PractitionerOKTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes2525$0
99203New patient office or other outpatient visit, 30-44 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 47906)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557454410View full group profile

Reviews

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Frequently asked questions

What identifier follows DR. TAMARA S SHIELDS (CFNP) across health systems?
The NPI 1568422970 uniquely identifies DR. TAMARA S SHIELDS (CFNP) in U.S. healthcare data.
Does the public listing show DR. TAMARA S SHIELDS (CFNP) as active?
DR. TAMARA S SHIELDS (CFNP)'s NPI record reflects an active status in NPPES.
What services align with DR. TAMARA S SHIELDS (CFNP)'s listing?
DR. TAMARA S SHIELDS (CFNP)'s public classification highlights Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. TAMARA S SHIELDS (CFNP)?
DR. TAMARA S SHIELDS (CFNP) shows a connection to West Lafayette, Indiana in registry-derived data.
Can I export DR. TAMARA S SHIELDS (CFNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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