Active NPI
Shea Prestwich, PA-C
- Physician Assistant
- Mesa, AZ
National Provider Identifier
1215237532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 4691
- Practice address
- 5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621 - Phone
- (480) 654-6200
- NPI assigned
- Nov 3, 2010
- Last updated
- Jan 3, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 4691 | AZ | Primary |
Addresses
Primary practice location
5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621
Mailing address
5424 E Southern Ave Ste 101
Mesa, AZ 85206-3621
Phone (480) 654-6200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7227 E Baseline Rd
Suite 126
Mesa, AZ 85209-5006
Phone (480) 868-9650
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 77.24 of 100
- Quality
- 66.21
- Improvement activities
- 40
- Cost
- 66.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4691 | AZ | MD | Physician Assistant |
Interoperability endpoints
- shea.prestwich@57560418353156.direct.elationemr.com
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.
-
- Family Medicine Physician
- Mesa, AZ
- NPI 1396573705
Hospital & facility affiliations 3
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": "1288742400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357171200000",
"number": "1215237532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5424 E SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852063621",
"telephone_number": "480-654-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5424 E SOUTHERN AVE STE 101",
"city": "MESA",
"state": "AZ",
"postal_code": "852063621",
"telephone_number": "480-654-6200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTWICH",
"first_name": "SHEA",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-03",
"last_updated": "2013-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "4691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
- Premise Health of Arizona Medical PC (City of Mesa Health & Wellness Center)
- Premise Health of Arizona Medical PC (AT&T Mesa)
- Kamala Premkumar, MD
- Isadora Preston-Jones, RN
- Emma Catherine Preston
- Carol Preuitt, LISAC
- Mackenzie Elizabeth Prew
- Jenna Brooke Prewitt, PA-C
- Chelsea M Price, MS, RD, LDN
- Ginger L Price, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2013; 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.