Individual provider Active NPI

Patricia Wheeler Shea, APRN, BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Marblehead, MA
National Provider Identifier
1174679898
Registry record updated Oct 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
168529 Issued in MA
Practice address
74 Atlantic Ave Unit 201B
Marblehead, MA 01945-3067
Phone
(781) 908-0730
Fax
(949) 798-3037
NPI assigned
Jan 26, 2007
Last updated
Oct 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2023

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 168529 MA Primary

Addresses

Primary practice location

74 Atlantic Ave Unit 201B
Marblehead, MA 01945-3067

Mailing address

15 Cliff St
Marblehead, MA 01945-3005
Phone (781) 639-8595

Other names 1

  • Patricia Wheeler Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20210405000609 MA Practitioner - Nurse Practitioner 0143637447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1993
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mindwell Mental Health PLLCGroup PAC ID 7214317916, 2 clinicians

Practice addresses (Care Compare)

185 Devonshire St
Suite 902
Boston, MA 02110-1413
Phone (781) 908-0730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
168529MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mindwell Mental Health PLLC Psychiatric/Mental Health CurrentSince May 1, 2022 Accepting new patients
Paradise Health Services LLC Nurse Practitioner CurrentSince May 25, 2025 Accepting new patients

Locations

185 Devonshire St
Ste 902
Boston, MA 02110
Phone (617) 646-9819

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, 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": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1174679898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CLIFF ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453005",
            "telephone_number": "781-639-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 ATLANTIC AVE UNIT 201B",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "019453067",
            "telephone_number": "781-908-0730",
            "fax_number": "949-798-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "PATRICIA",
        "middle_name": "WHEELER",
        "credential": "APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "168529",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "WHEELER",
            "credential": "APRN, BC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marblehead, MA

Sources for this page

Verify at the official NPI Registry.