Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609473990 Individual Practitioner Male Practitioner

Nathaniel Martin Shields

Counselor - Professional • Chaska, MN

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Nathaniel Shields is a certified Counselor - Professional practicing in Chaska, MN. With approximately 12 years of clinical experience since completing medical education in 2014, Nathaniel Shields delivers high-quality medical care to the local community at 111 HUNDERTMARK RD STE 205N.

Nathaniel Shields is affiliated with Nystrom And Associates Ltd and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

111 Hundertmark Rd Ste 205n

Chaska, MN 553181586

Telephone 6122747532
Fax 9524263856

Medicare Profile & Education

Medical School

Other

Graduation Year

2014

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Chaska, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
12 Yrs +1.7 yrs vs City Avg
City Avg: 10.3 Yrs
State Avg: 11.4 Yrs
Regional Practice Density
20 Specialists

Practicing in Chaska, MN (2422 Statewide)

Telehealth Adoption Rate
30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (12 Years) 12 Yrs
Chaska Specialty Average (10.3 Years) 10.3 Yrs

Medical Specialties & State Licenses

CMS Verified: 2020-10-08
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License MN CC02597

Definition to come...

Hospital & Practice Group Affiliations

Nystrom And Associates Ltd

4820 77th St W, Edina, MN 554354832

Phone: 6513138080

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1124049903

PHDLP

Melissa Larson , LICSW

Counselor - Mental Health

NPI 1184219974

Licensed Independent Clinical Social Worker

Kelly Senesac , MA, LMFT

Marriage & Family Therapist

NPI 1508072604

Master of Arts, Licensed Marriage and Family Therapist

Dr. Richard Peterson , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1619152097

Doctor of Medicine (M.D.)

Dr. Amy Swingle , PsyD

Psychologist - Clinical

NPI 1649678848

Doctor of Psychology (Psy.D.)

Dr. Jacob Kerbeshian , MD

Psychiatry & Neurology - Child & Adolescent Psychiatry

NPI 1831280635

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 08, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2020

Registered at 111 HUNDERTMARK RD STE 205N, CHASKA, MN 553181586 (Tel: 6122747532)

📍
Updated Business Mailing Address October 08, 2020

Registered at 111 HUNDERTMARK RD STE 205N, CHASKA, MN 553181586 (Tel: 6122747532)

👤
Provider Name / Credentials Updated October 08, 2020

Recorded as NATHANIEL SHIELDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2020

Counselor (License #CC02597 in MN)

🟢
Initial NPI Registration & Enumeration October 08, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609473990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2020
Last Update: October 08, 2020
Sole Proprietor: No

Mailing Address

111 Hundertmark Rd Ste 205n

Chaska, MN 553181586

Phone: 6122747532

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.