MRS. ALFREDA SHIELDS (FNP, PMHNP) – Nurse Practitioner, NPI 1497021810
Nurse Practitioner
Main info
Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
2,655 NURSE PRACTITIONER in UT
Provider Addresses for MRS. ALFREDA SHIELDS (FNP, PMHNP)
7777 S Redwood Rd
West Jordan, UT 840845518
Phone: (866) 389-2727
Type: Location
3825 S Noland Rd
Independence, MO 640553344
Phone: (866) 389-2727
Type: Location
2122 Troy Rd Ste 130
Edwardsville, IL 620252540
Phone: (618) 463-8500
Fax: (618) 996-5291
Type: Location
1001 Lynch St
Saint Louis, MO 631181818
Phone: (314) 535-5600
Type: Location
1650 Washington Ave
Alton, IL 620023931
Phone: (314) 687-2735
Type: Location
PO BOX 955534
SAINT LOUIS, MO 631955534
Phone:
Type: Mailing
1650 WASHINGTON AVE
ALTON, IL 620023931
Phone: (314) 687-2735
Type: Location
1 Cvs Dr
Woonsocket, RI 028956146
Phone: (866) 389-2727
Type: Location
531 Queen Anne Ave N
Seattle, WA 981094521
Phone: (866) 389-2727
Type: Location
PO BOX 844715
KANSAS CITY, MO 641844715
Phone: (417) 761-5000
Fax: (417) 761-5631
Type: Mailing
4066 DUNNICA AVE
SAINT LOUIS, MO 631163510
Phone: (636) 224-1700
Type: Location
1001 LYNCH ST
SAINT LOUIS, MO 631181818
Phone: (314) 535-5600
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 48 Open Payments records for all available years, with a total value of $2,422.
Total Amount is formed as General ($2,422) + Research ($0) + Ownership ($0) = $2,422.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($650).
Total Amount
$2,422
General + Research + Ownership
Payments
48
Total payment records
General Amount
$2,422
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2025-05-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| I20120911000818 | I | Nurse Practitioner | IL | TBD |
| I20130114000179 | I | Nurse Practitioner | MO | TBD |
| I20230410002061 | I | Nurse Practitioner | CA | TBD |
| I20241007002186 | I | Nurse Practitioner | MN | TBD |
| I20241008001420 | I | Nurse Practitioner | NM | TBD |
| I20241104001371 | I | Nurse Practitioner | UT | TBD |
| I20250213002188 | I | Nurse Practitioner | HI | TBD |
| I20250213003183 | I | Nurse Practitioner | WA | TBD |
| I20250514003770 | I | Nurse Practitioner | OK | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 12 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 13 | 11 | $0 |
Insurance plans in this area (ZIP 84084)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | RI | |
| Nurse Practitioner | IL |
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