SHEDRICK D SHIELDS (PHD, APRN) – Nurse Practitioner, NPI 1902125446

SHEDRICK D SHIELDS (PHD, APRN) is a healthcare provider. based in West melbourne, Florida. specializing in Nurse Practitioner. They hold the professional credentials PHD, APRN. They hold a License No. ARNP9168218 (FL). The NPI Number for SHEDRICK D SHIELDS (PHD, APRN) is 1902125446

Main info

Male
Name
SHEDRICK D SHIELDS (PHD, APRN)
NPI
1902125446
Phone
(904) 477-3138
Address
3363 DIONE ST
Enumeration Date
24 May 2010
Last Update Date
26 March 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

Provider Addresses for SHEDRICK D SHIELDS (PHD, APRN)

  • 3363 DIONE ST

    WEST MELBOURNE, FL 329047582

    Phone: (904) 477-3138

    Mailing address matches the actual address.

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: 2016-03-11

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
I20160311001141INurse PractitionerFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes15142$0
G0180Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and4117$0
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes2415$0
View full utilization report →

Insurance plans in this area (ZIP 32904)

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Reviews

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Frequently asked questions

How do payers reference SHEDRICK D SHIELDS (PHD, APRN)?
For SHEDRICK D SHIELDS (PHD, APRN), use NPI 1902125446 as the unique 10-digit identifier.
Would SHEDRICK D SHIELDS (PHD, APRN) appear as active to a payer?
You can treat SHEDRICK D SHIELDS (PHD, APRN) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SHEDRICK D SHIELDS (PHD, APRN)?
SHEDRICK D SHIELDS (PHD, APRN)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SHEDRICK D SHIELDS (PHD, APRN) associated with West Melbourne?
Public fields place SHEDRICK D SHIELDS (PHD, APRN) around West Melbourne, Florida. Always confirm the exact site before visiting.
Does SHEDRICK D SHIELDS (PHD, APRN) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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