Individual provider Active NPI

Marcie Shea, M.D.

  • Psychiatry Physician
  • Warrensburg, MO
National Provider Identifier
1083864888
Registry record updated Apr 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2010022638 Issued in MO
Practice address
Dr. Marcie Shea C/O Western Missouri Medical Center Bri
403 Burkarth Rd
Warrensburg, MO 64093
Phone
(816) 287-0258
Fax
(816) 408-3330
NPI assigned
Sep 29, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2010022638 MO Primary

Addresses

Primary practice location

Dr. Marcie Shea C/O Western Missouri Medical Center Bri
403 Burkarth Rd
Warrensburg, MO 64093

Mailing address

PO Box 1999
Lee'S Summit, MO 64063
Phone (816) 287-0258

Other identifiers 1

IdentifierTypeStateIssuer
209533504MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS, NM, PA, IA5 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20120725000496 MO Practitioner - Psychiatry 1658537386 Reassigns benefits to 1 organization
I20210409001502 KS Practitioner - Psychiatry 1658537386 Reassigns benefits to 1 organization
I20210714003844 NM Practitioner - Psychiatry 1658537386 Reassigns benefits to 1 organization
I20210715000545 PA Practitioner - Psychiatry 1658537386 Reassigns benefits to 1 organization
I20240410002481 IA Practitioner - Psychiatry 1658537386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Kansas School of Med (KC/Wich/Sal), 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evizzit of Iowa Psychiatry PCGroup PAC ID 2860825924, 52 clinicians

Practice addresses (Care Compare)

1501 42ND St
Suite 575
West Des Moines, IA 50266-1060
Phone (855) 270-3625

2102 Mayfred LN
Camp Hill, PA 17011-5432
Phone (855) 270-3625

511 NE 10TH St
Abilene, KS 67410-2153
Phone (855) 270-3625

5110 Bluff Dr
Joplin, MO 64804-9098
Phone (855) 270-3625

520 W 5TH St
Grove County Medical Center
Quinter, KS 67752-9705
Phone (785) 754-3341

900 W Ash St
Mimbres Memorial Hospital
Deming, NM 88030-4000
Phone (575) 546-5800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Evizzit of Iowa Psychiatry PC Psychiatry CurrentSince Dec 25, 2020 Accepting new patients
Kansas City University Past Accepting new patients

Locations

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone 8552703625171

511 NE 10th St
Abilene, KS 67410
Phone (785) 263-2100

900 W Ash St
Deming, NM 88030
Phone (505) 546-2761

8 Cadillac Dr
Ste 230
Brentwood, TN 37027
Phone (615) 647-0750

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586995200000",
    "number": "1083864888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1999",
            "city": "LEE'S SUMMIT",
            "state": "MO",
            "postal_code": "64063",
            "telephone_number": "816-287-0258",
            "fax_number": "816-408-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DR. MARCIE SHEA C/O WESTERN MISSOURI MEDICAL CENTER BRI",
            "address_2": "403 BURKARTH RD",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "64093",
            "telephone_number": "816-287-0258",
            "fax_number": "816-408-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "MARCIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-29",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2010022638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209533504",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrensburg, MO

Sources for this page

Verify at the official NPI Registry.