Jessica Shields, PMHNP - Medicare Nurse Practitioner in Raleigh, NC

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Jessica Shields, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Raleigh, North Carolina. She graduated from medical school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Triangle Springs Physician Group Llc and her current practice location is 10901 World Trade Blvd, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 746-8900.

Jessica Shields is licensed to practice in North Carolina (license number 5011409) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104382639.

Contact Information

Jessica Shields, PMHNP
10901 World Trade Blvd,
Raleigh, NC 27617-4203
(919) 746-8900
Not Available

Map and Direction




Physician's Profile

Full NameJessica Shields
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location10901 World Trade Blvd, Raleigh, North Carolina
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jessica Shields graduated from medical school in 2018
  NPI Data:
  • NPI Number: 1104382639
  • Provider Enumeration Date: 02/20/2019
  • Last Update Date: 01/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4789926940
  • Enrollment ID: I20190508003314

Medical Identifiers

Medical identifiers for Jessica Shields such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104382639NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084A0401XPsychiatry & Neurology - Addiction Medicine 5011409 (North Carolina)Secondary
363LP2300XNurse Practitioner - Primary Care 5011409 (North Carolina)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 5011409 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Triangle Springs Physician Group Llc721428326612

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jessica Shields allows following entities to bill medicare on her behalf.
Entity NameTriangle Springs Physician Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063901312
PECOS PAC ID: 7214283266
Enrollment ID: O20180703003145
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameMd Psychiatry And Emotional Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548875883
PECOS PAC ID: 6608296744
Enrollment ID: O20201012001820

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jessica Shields is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jessica Shields, PMHNP
10901 World Trade Blvd,
Raleigh, NC 27617-4203

Ph: (919) 746-8900		Jessica Shields, PMHNP
10901 World Trade Blvd,
Raleigh, NC 27617-4203

Ph: (919) 746-8900

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.