KRISTIN R. SHIELDS (PA-C) – Physician Assistant, NPI 1669493839
Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for KRISTIN R. SHIELDS (PA-C)
PO BOX 485
NEW CASTLE, IN 473620485
Phone: (765) 521-1516
Fax: (765) 599-3131
Type: Mailing
2200 FOREST RIDGE PKWY STE 310
NEW CASTLE, IN 473622943
Phone: (765) 599-3400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,753.
Total Amount is formed as General ($1,753) + Research ($0) + Ownership ($0) = $1,753.
Last reported payment date: 2024-11-07 • Largest payer in this snapshot: Abbott Laboratories ($681).
Total Amount
$1,753
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,753
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $681 |
| Medtronic, Inc. | $284 |
| Boston Scientific Corporation | $242 |
| MML US, Inc. | $194 |
| Averitas Pharma Inc. | $153 |
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: 2005-12-21
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051221000991 | I | Physician Assistant | IN | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47362)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Diagnostic Radiology | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| - | IN | |
| Nurse Practitioner | IN | |
| Clinical Social Worker | IN | |
| P S Y C H I A T R Y | IN |
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