JESSICA K SHIELDS (D.O.) – Obstetrics & Gynecology Physician, NPI 1457676405

JESSICA K SHIELDS (D.O.) is a healthcare provider. based in Burlington, Massachusetts. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials D.O.. They hold a License No. R2224 (TX). The NPI Number for JESSICA K SHIELDS (D.O.) is 1457676405

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA K SHIELDS (D.O.)
NPI
1457676405
Phone
(781) 744-8000
Address
41 MALL RD
Enumeration Date
1 April 2010
Last Update Date
23 May 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
-
Graduation Year
2010 (16 years ago)
PAC ID
2365661279
Group Practice PAC ID
2264336528
Professional Enrollment ID
I20140908001751
Address ID
MA018050001Bu41XXXRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,231 OBSTETRICS/GYNECOLOGY in MA

Provider Addresses for JESSICA K SHIELDS (D.O.)

  • 41 MALL RD

    BURLINGTON, MA 018057202

    Phone: (781) 744-8000

    Type: Location

  • 100 Andover Bypass

    Suite #300

    North Andover, MA 01845

    Phone: (978) 688-9979

    Fax: (978) 688-7727

    Type: Location

  • 1801 Inwood Rd

    Dallas, TX 752357202

    Phone: (214) 648-3113

    Fax: (214) 645-3839

    Type: Location

  • University of Texas Southwestern Medical Center, 5323, Harry Hines Boulevard, Dallas, TX, Dallas, Dallas County, Texas, 75390, United States

    DALLAS, TX 753909257

    Phone: (214) 648-3113

    Fax: (214) 645-3839

    Type: Mailing

  • 1801, Inwood Road, Dallas, TX, Dallas, Dallas County, Texas, 75235, United States

    DALLAS, TX 752357202

    Phone: (214) 648-3113

    Fax: (214) 645-3839

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $364.

Total Amount is formed as General ($364) + Research ($0) + Ownership ($0) = $364.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: COLOPLAST CORP ($115).

Total Amount

$364

General + Research + Ownership

Payments

6

Total payment records

General Amount

$364

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

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: 2014-09-08

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140908001751IObstetrics/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 01805)

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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: 2264336528View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
G A S T R O E N T E R O L O G YNY
Physician AssistantMA
A N E S T H E S I O L O G YMA

Reviews

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Frequently asked questions

What is the 10-digit NPI for JESSICA K SHIELDS (D.O.)?
JESSICA K SHIELDS (D.O.) — NPI 1457676405 — is the standard way to identify this listing.
Does CMS list JESSICA K SHIELDS (D.O.) as active?
Yes — JESSICA K SHIELDS (D.O.) is active in the NPI listing used on this page.
What is JESSICA K SHIELDS (D.O.) best known for clinically?
Directory data describes JESSICA K SHIELDS (D.O.) with Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Does JESSICA K SHIELDS (D.O.) list a practice location?
Patients near Burlington, Massachusetts may find JESSICA K SHIELDS (D.O.) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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