Individual ProviderKristen ShieldsNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address4727 Friendship Ave, Pittsburgh, PA 15224-1779(412) 235-5810(724) 638-9888PECOS EnrollmentBased on the most recent information from CMS, provider Kristen Shields is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1366813446Provider TypeIndividualFull NameShields, KristenCredentialCRNPGenderFemaleSole ProprietorNoEnumeration Date10/14/2015Last Updated3/19/2025Contact InformationPractice LocationPractice Address4727 Friendship Ave, Pittsburgh, PA 15224-1779Phone(412) 235-5810FaxUnlisted FaxMailing LocationMailing Address311 Rouser Rd, Moon Township, PA 15108-6801Phone(724) 638-9888FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseSP015456PennsylvaniaProvider IdentifiersIDDescriptionIssuerID103073522DescriptionMedicaidIssuerUnlistedPennsylvania