JUSTIN SHIELDS (M.D.) – Neurology with Special Qualifications in Child Neurology Physician, NPI 1972703460
Neurology with Special Qualifications in Child Neurology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
590 NEUROLOGY in WA
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Provider Addresses for JUSTIN SHIELDS (M.D.)
Madigan Army Medical Center, 9040, Jackson Avenue, Tacoma, Pierce County, Washington, 98431, United States
9040 A REID ST. DEPT OF MEDICINE
TACOMA, WA 984310001
Phone: (253) 968-1110
Type: Location
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE
TACOMA, WA 984310001
Phone: (253) 968-1110
Type: Mailing
8901 ROCKVILLE PIKE
BETHESDA, MD 208890001
Phone: (301) 295-4771
Type: Location
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: 2026-02-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20260211001697 | I | Neurology | VA | TBD |
| I20260225000663 | I | Neurology | DC | 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 98431)
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