Active NPI 1497021810 Individual Practitioner Female Practitioner

Alfreda Shields , FNP, PMHNP

Nurse Practitioner • Saint Louis, MO

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Alfreda Shields, FNP, PMHNP is a certified Nurse Practitioner practicing in Saint Louis, MO. With approximately 15 years of clinical experience since completing medical education in 2011, Alfreda Shields delivers high-quality medical care to the local community at 4066 DUNNICA AVE.

Alfreda Shields maintains professional affiliations with Minuteclinic Diagnostic Of Utah, Llc, Fairview Heights Medical Group Sc, Minuteclinic Diagnostic Of Hawaii, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, telephone medical discussion with physician, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4066 Dunnica Ave

Saint Louis, MO 631163510

Telephone 6362241700

Associated Practice Facility / Clinic

🏢 Preferred Family Healthcare Inc Facility NPI 1649891177

Medicare Profile & Education

Medical School

Other

Graduation Year

2011

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Saint Louis, MO

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

15 Yrs +3.4 yrs vs City Avg

City Avg: 11.6 Yrs

State Avg: 11.7 Yrs

Regional Practice Density

442 Specialists

Practicing in Saint Louis, MO (1750 Statewide)

Telehealth Adoption Rate

14.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

45.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (15 Years) 15 Yrs

Saint Louis Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	17	$70.77	$45.78
99213 Established patient office or other outpatient visit, typically 15 minutes	33	29	$147.12	$73.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	12	$70.00	$46.78
99442 Telephone medical discussion with physician, 11-20 minutes	13	11	$90.00	$74.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99442 Telephone medical discussion with physician, 11-20 minutes	36	14	$81.39	$76.25
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	11	$70.00	$47.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	151	114	$147.00	$60.46
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$180.00	$109.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0008 Administration of influenza virus vaccine	49	49	$42.84	$16.52
90662 Influenza vaccine split virus, preservative free	43	43	$78.00	$60.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$234.67	$92.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	26	$229.85	$90.60
86580 Skin test for tuberculosis	11	11	$24.00	$9.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	74	$197.04	$91.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$215.32	$93.17
99213 Established patient office or other outpatient visit, typically 15 minutes	30	30	$172.90	$62.17
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	27	$36.04	$15.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$47.00	$14.97
81003 Automated urinalysis test	23	22	$23.74	$2.44
G0008 Administration of influenza virus vaccine	23	23	$34.83	$16.22
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$142.67	$63.03
69210 Removal of impacted ear wax	18	15	$93.00	$41.33
90662 Influenza vaccine split virus, preservative free	16	16	$70.50	$54.89
71046 X-ray of chest, 2 views	15	15	$66.60	$9.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	75	75	$210.00	$91.21
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	67	$192.00	$90.49
99202 New patient office or other outpatient visit, typically 20 minutes	39	39	$124.90	$63.49
99213 Established patient office or other outpatient visit, typically 15 minutes	35	32	$132.09	$61.07
81003 Automated urinalysis test	29	27	$20.07	$2.71
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	27	26	$38.89	$16.20
90662 Influenza vaccine split virus, preservative free	22	22	$60.00	$51.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	19	13	$45.89	$16.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$76.85	$36.29
71046 X-ray of chest, 2 views	12	12	$65.00	$9.43
G0008 Administration of influenza virus vaccine	11	11	$33.55	$19.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	180	180	$182.67	$92.78
99213 Established patient office or other outpatient visit, typically 15 minutes	56	52	$109.71	$61.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$208.12	$89.93
G0008 Administration of influenza virus vaccine	32	32	$33.13	$24.38
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	30	$38.00	$16.11
90662 Influenza vaccine split virus, preservative free	28	28	$60.00	$48.05
81003 Automated urinalysis test	26	26	$20.31	$3.02
71020 X-ray of chest, 2 views, front and side	16	16	$65.00	$9.43
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	13	$46.53	$16.11

Medical Specialties & State Licenses

CMS Verified: 2026-07-24

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MO 2012001249

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License HI 49210

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WA 61618369

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MT 243616

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MO 2012001249

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AZ 330311

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OR 10032618

Definition to come...

Nurse Practitioner

NUCC Taxonomy Code: 363L00000X

State License IL 277000588

Nurse Practitioner - Psychiatric/Mental Health

NUCC Taxonomy Code: 363LP0808X

State License MO 2020037590

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License UT 14174711-4405

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License NM 77844

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License MN 2052467

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License OK 222704

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CA 694307

Definition to come...

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License AK 229519

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2020037590 (MO)

Commercial Insurance / Payer ID Pmhnp

2020037590 (MO)

Hospital & Practice Group Affiliations

Brightside Health Inc

None, Saint Louis, MO 63133

Phone: 4153603348

Minuteclinic Diagnostic Of Kansas Pa

3825 S Noland Rd, Independence, MO 640553344

Phone: 8663892727

Fairview Heights Medical Group Sc

1 Memorial Dr, Alton, IL 620026722

Phone: 6184637240

Minuteclinic Diagnostic Of Utah, Llc

7777 S Redwood Rd, West Jordan, UT 840845518

Phone: 8663892727

Minuteclinic Diagnostic Of Hawaii, Llc

45 -480 Kaneohe Bay Dr, Kaneohe, HI 967442039

Phone: 8663892727

Minuteclinic Diagnostic Of Minnesota Pa

4241 Johnny Cake Ridge Rd, Eagan, MN 551222235

Phone: 8663892727

Places For People Inc

1001 Lynch St, Saint Louis, MO 631181818

Phone: 3145355600

Minuteclinic Diagnostic Of New Mexico, Llc

4340 San Mateo Blvd Ne, Albuquerque, NM 871101234

Phone: 8663892727

Fairview Heights Medical Group Sc

4000 N Illinois Ln, Swansea, IL 622261969

Phone: 6182576380

Secondary Practice Locations

1001 Lynch St

Saint Louis, MO 631181818

Phone: 3145355600

1 Cvs Dr

Woonsocket, RI 028956146

Phone: 8663892727

1 Cvs Dr

Woonsocket, RI 028956146

Phone: 8663892727

531 Queen Anne Ave N

Seattle, WA 981094521

Phone: 8663892727

1650 Washington Ave

Alton, IL 620023931

Phone: 3146872735

2122 Troy Rd Ste 130

Edwardsville, IL 620252540

Phone: 6184638500

3825 S Noland Rd

Independence, MO 640553344

Phone: 8663892727

7777 S Redwood Rd

West Jordan, UT 840845518

Phone: 8663892727

Practice Associates & Co-Workers

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

40 Associated Practitioners

Mariah Nelson

Registered Nurse

NPI 1023517257

Jean Sokora , MSW, LCSW

Social Worker - Clinical

NPI 1053002485

Master of Social Work, Licensed Clinical Social Worker

Samantha Harris , LMSW

Social Worker - Clinical

NPI 1053124248

Licensed Master Social Worker

Anita Polzin , MA, LPC

Counselor - Professional

NPI 1053721290

Master of Arts, Licensed Professional Counselor

Victor Browder , RN

Registered Nurse

NPI 1063067189

Registered Nurse

Hampton Chandler , RN

Registered Nurse

NPI 1063194322

Registered Nurse

Career & Practice History Timeline

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

20 Historical Events

📍

Updated Business Mailing Address January 12, 2026

Registered at PO BOX 844715, KANSAS CITY, MO 641844715 (Tel: 4177615000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2025

Nurse Practitioner (License #694307 in CA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2025

Nurse Practitioner (License #2012001249 in MO)

📍

Updated Practice Location November 21, 2024

Registered at 4066 DUNNICA AVE, SAINT LOUIS, MO 631163510 (Tel: 6362241700)

📍

Updated Practice Location August 12, 2024

Registered at 3825 S NOLAND RD, INDEPENDENCE, MO 640553344 (Tel: 8663892727)

📍

Updated Practice Location May 09, 2024

Registered at 2122 TROY RD STE 130, EDWARDSVILLE, IL 620252540 (Tel: 6184638500)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2024

Nurse Practitioner (License #277000588 in IL)

📍

Updated Practice Location October 29, 2021

Registered at 1001 LYNCH ST, SAINT LOUIS, MO 631181818 (Tel: 3145355600)

👤

Provider Name / Credentials Updated October 29, 2021

Recorded as ALFREDA SHIELDS, FNP, PMHNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2021

Nurse Practitioner (License #2012001249 in MO)

📍

Updated Practice Location October 27, 2020

Registered at 1650 WASHINGTON AVE, ALTON, IL 620023931 (Tel: 3146872735)

📍

Updated Business Mailing Address October 27, 2020

Registered at PO BOX 955534, SAINT LOUIS, MO 631955534

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2020

Nurse Practitioner (License #277000588 in IL)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 12, 2018

Nurse Practitioner (License #2012001249 in MO)

✅

NPI Profile Active May 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location May 28, 2013

Registered at 1390 US HIGHWAY 61, FESTUS, MO 630284137 (Tel: 6369336300)

📍

Updated Business Mailing Address May 28, 2013

Registered at 1390 US HIGHWAY 61, FESTUS, MO 630284137 (Tel: 6369336300)

👤

Provider Name / Credentials Updated May 28, 2013

Recorded as ALFREDA SHIELDS, FNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2013

Nurse Practitioner (License #2012001249 in MO)

🟢

Initial NPI Registration & Enumeration March 29, 2012

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: 1497021810

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 29, 2012

Last Update: July 24, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 844715

Kansas City, MO 641844715

Phone: 4177615000

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.