Individual provider Active NPI

Shelby Annis Sheehan, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bondurant, IA
National Provider Identifier
1134819600
Registry record updated Sep 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
G174195 Issued in IA
Practice address
88 Paine Cir Ofc 603
Bondurant, IA 50035-1449
Phone
(515) 715-2041
NPI assigned
May 9, 2023
Last updated
Sep 25, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X G174195 IA Primary

Addresses

Primary practice location

88 Paine Cir Ofc 603
Bondurant, IA 50035-1449

Mailing address

88 Paine Cir Ofc 603
Bondurant, IA 50035-1449
Phone (515) 715-2041

Other practice location 1

1619 S High Ave
Ames, IA 50010-8055
Phone (515) 232-3206

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, ND, IL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20230706002744 IA Practitioner - Nurse Practitioner 5890154009 Reassigns benefits to 4 organizations
I20260507000305 WI Practitioner - Nurse Practitioner 5890154009 Reassigns benefits to 1 organization
I20260519003482 ND Practitioner - Nurse Practitioner 5890154009 Reassigns benefits to 1 organization
I20260625003890 IL Practitioner - Nurse Practitioner 5890154009 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
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 50266-1039

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

325 Spring St
Red Bud, IL 62278-1105
Phone (618) 282-3831

88 Paine Cir SE
Ofc 603
Bondurant, IA 50035-1449
Phone (515) 639-0554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
G174195IAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince May 1, 2025 Accepting new patients
The Richmond Center CurrentSince Feb 21, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince May 1, 2025 Accepting new patients
Evizzit of Iowa Psychiatry PC Psychiatric/Mental Health CurrentSince Dec 28, 2025 Accepting new patients
Bondurant Psychiatry Psychiatric/Mental Health CurrentSince Apr 4, 2025 Accepting new patients
Community and Family Resources Past Accepting new patients

Locations

1619 S High Ave
Ames, IA 50010
Phone (515) 232-3206

88 Paine Cir
Ofc 603
Bondurant, IA 50035
Phone (515) 639-0554

1332 S Marshall St
Boone, IA 50036
Phone (515) 433-0316

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

3451 Easton Blvd
Des Moines, IA 50317
Phone (515) 255-3373

3806 Easton Blvd
Des Moines, IA 50317
Phone (515) 262-0349

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

211 Avenue M W
Fort Dodge, IA 50501
Phone (515) 576-7261

1501 42nd St
Ste 575
West Des Moines, IA 50266
Phone (601) 824-0342

325 Spring St
Redbud, IL 62278
Phone (618) 282-5165

191 Iowa Blvd
Trenton, MO 64683
Phone (660) 358-5700

711 W Adams St
Blk River Fls, WI 54615
Phone (715) 284-3604

323 S 18th Ave
Sturgeon Bay, WI 54235
Phone (920) 743-5566

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1683590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1134819600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 PAINE CIR OFC 603",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351449",
            "telephone_number": "515-715-2041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 PAINE CIR OFC 603",
            "city": "BONDURANT",
            "state": "IA",
            "postal_code": "500351449",
            "telephone_number": "515-715-2041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 S High Ave",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500108055",
            "country_code": "US",
            "telephone_number": "515-232-3206",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "SHELBY",
        "middle_name": "ANNIS",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-09",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IA",
            "license": "G174195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bondurant, IA

Sources for this page

Verify at the official NPI Registry.