JENNIFER L SHIELDS (MD) – Obstetrics & Gynecology Physician, NPI 1336761717

JENNIFER L SHIELDS (MD) is a healthcare provider. based in Burlington, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials MD. They hold a License No. 1018829 (MA). The NPI Number for JENNIFER L SHIELDS (MD) is 1336761717

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
JENNIFER L SHIELDS (MD)
NPI
1336761717
Phone
Not provided
Address
101 CAMBRIDGE ST STE 160
Enumeration Date
8 May 2020
Last Update Date
24 June 2024

Doctor Profile

Medical School Name
GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9786645979
Graduation Year
2020 (6 years ago)
PAC ID
3577988856
Group Practice PAC ID
9133536253
Professional Enrollment ID
I20240722000750
Address ID
MA018642286NO21XXXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,237 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for JENNIFER L SHIELDS (MD)

  • 101 CAMBRIDGE ST STE 160

    BURLINGTON, MA 018033767

    Phone:

    Type: Mailing

  • Baystate Medical Center 759 Chestnut St

    Springfield, MA 011991001

    Phone: (413) 794-0000

    Type: Location

  • 21 Main St Ste 3B

    North Reading, MA 018642286

    Phone: (978) 664-5979

    Type: Location

  • BAYSTATE MEDICAL CENTER 759 CHESTNUT ST

    SPRINGFIELD, MA 011991001

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $42.

Total Amount is formed as General ($42) + Research ($0) + Ownership ($0) = $42.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($42).

Total Amount

$42

General + Research + Ownership

Payments

2

Total payment records

General Amount

$42

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2024-07-22

PECOS data refreshed: 2026-06-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240722000750IObstetrics/GynecologyMATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01803)

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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: 9133536253View full group profile
NameSpecialtyState
O B S T E T R I C S/ G Y N E C O L O G YMA

Reviews

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Frequently asked questions

Can I cross-check JENNIFER L SHIELDS (MD) using NPI 1336761717?
NPI 1336761717 belongs to JENNIFER L SHIELDS (MD); compare other details if you need extra assurance.
Would JENNIFER L SHIELDS (MD) appear as active to a payer?
You can treat JENNIFER L SHIELDS (MD) as active for directory purposes; confirm clinical privileges separately.
How would a patient describe JENNIFER L SHIELDS (MD)'s focus?
For JENNIFER L SHIELDS (MD), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JENNIFER L SHIELDS (MD)?
Directory geography for JENNIFER L SHIELDS (MD) centers on Burlington, Massachusetts.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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