Rebbecca Shea, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA00831 Issued in RI

Practice address

102 Valley Rd
Middletown, RI 02842-5237

Phone

(401) 239-1800

Fax

(401) 239-1801

NPI assigned

Apr 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

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 1

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Dermatology LLCGroup PAC ID 1759550643, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Miriam Hospital Hospital, Providence, RI, CCN 410012
• Kent County Memorial Hospital Hospital, Warwick, RI, CCN 410009

Merit-based Incentive Payment System (MIPS)

Final score

90.23 of 100Reported as group

Quality

95.87

Promoting interoperability

100

Improvement activities

40

Cost

71.56

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Aspire Dermatology LLC

  • MOHS-Micrographic Surgery Physician
  • Middletown, RI
  • NPI 1700176849
  Medicare reassignment Care Compare group
• Southcoast Physicians Group, Inc.

  • Family Medicine Physician
  • Fairhaven, MA
  • NPI 1336137629
  NPD (past)

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

• Kent County Memorial Hospital

  • Rehabilitation Hospital Unit
  • Warwick, RI
  • NPI 1023017944
  Care Compare affiliation
• Kent County Memorial Hospital

  • General Acute Care Hospital
  • Warwick, RI
  • NPI 1386643294
  Care Compare affiliation
• The Miriam Hospital

  • General Acute Care Hospital
  • Providence, RI
  • NPI 1487649430
  Care Compare affiliation

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

{
    "created_epoch": "1461542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1164877486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 VALLEY RD",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425237",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1524 Atwood Ave",
            "address_2": "Suite 321",
            "address_purpose": "LOCATION",
            "city": "Johnston",
            "state": "RI",
            "postal_code": "029193228",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "67 William S Canning Blvd",
            "address_purpose": "LOCATION",
            "city": "Tiverton",
            "state": "RI",
            "postal_code": "028783003",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Wampanoag Trl Ste 203",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "RI",
            "postal_code": "029151038",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "618 Toll Gate Rd",
            "address_purpose": "LOCATION",
            "city": "Warwick",
            "state": "RI",
            "postal_code": "028862717",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Main St",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "RI",
            "postal_code": "028854402",
            "country_code": "US",
            "telephone_number": "401-239-1800",
            "fax_number": "401-239-1801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEA",
        "first_name": "REBBECCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-25",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "RI",
            "license": "PA00831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walter W Sepe, D.M.D.
• Erinn Michelle Seyler, PA-C
• Brigitte A Shaffer, LMHC
• Shake-a-Leg, Inc.
• Kyla Shea
• Debra R. Sheehan, D.C.
• Elizabeth Sheffield, CPNP-PC
• Lena Shenk-Foley
• Elizabeth Helen Shields, MD
• Sandy Rodrigues Silva

• Medical Physician Assistant in Middletown, RI
• Providers in Middletown, RI by specialty
• Medical Physician Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.