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Active NPI 1962170944 Individual Practitioner Female Practitioner

Carol L Shields , PA-C

Physician Assistant • Longview, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carol Shields, PA-C is a certified Physician Assistant practicing in Longview, WA. With approximately 4 years of clinical experience since completing medical education in 2022, Carol Shields delivers high-quality medical care to the local community at 1615 DELAWARE ST.

Carol Shields is affiliated with Legacy Clinics Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1615 Delaware St

Longview, WA 986322367

Telephone 3604142000
Associated Practice Facility / Clinic
🏢 Peacehealth Facility NPI 1073510277

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Longview, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -3.5 yrs vs City Avg
City Avg: 7.5 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
34 Specialists

Practicing in Longview, WA (3774 Statewide)

Telehealth Adoption Rate
17.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
68.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shields (4 Years) 4 Yrs
Longview Specialty Average (7.5 Years) 7.5 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
23 15 $317.00 $99.65
99239 Hospital discharge day management, more than 30 minutes
11 11 $305.00 $97.15

Medical Specialties & State Licenses

CMS Verified: 2023-01-23
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License OR PA212621

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Legacy Clinics Llc

1130 Nw 22nd Ave, Portland, OR 972102969

Phone: 5034138988

Legacy Clinics Llc

2801 N Gantenbein Ave, Portland, OR 972271623

Phone: 5034131122

Practice Associates & Co-Workers

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

40 Associated Practitioners
Peter Leyzac , CRNA

Nurse Anesthetist, Certified Registered

NPI 1033451968

Certified Registered Nurse Anesthetist

NPI 1033468376

Doctor of Pharmacy (Pharm.D.)

Donna Lynds , ARNP-C

Nurse Practitioner - Family

NPI 1043549488

ARNPC

NPI 1043567969
Sarah Wilber , PA-C

Physician Assistant

NPI 1053133199

Physician Assistant (Certified)

Dr. Ryan Strilaeff , MD

Radiology - Vascular & Interventional Radiology

NPI 1093193492

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location September 15, 2022

Registered at 1615 DELAWARE ST, LONGVIEW, WA 986322367 (Tel: 3604142000)

📍
Updated Business Mailing Address September 15, 2022

Registered at 38414 SE 10TH ST, WASHOUGAL, WA 986717780 (Tel: 3604093942)

👤
Provider Name / Credentials Updated September 15, 2022

Recorded as CAROL SHIELDS, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 15, 2022

Physician Assistant

NPI Profile Active September 02, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location September 02, 2021

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

📍
Updated Business Mailing Address September 02, 2021

Registered at 4311 11TH AVE NE STE 200, SEATTLE, WA 981056367 (Tel: 2066164001)

👤
Provider Name / Credentials Updated September 02, 2021

Recorded as CAROL SHIELDS, PA-STUDENT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 02, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration September 02, 2021

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: 1962170944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 02, 2021
Last Update: January 23, 2023
Sole Proprietor: No

Mailing Address

38414 Se 10th St

Washougal, WA 986717780

Phone: 3604093942

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.