Janice E. Shea, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

003705 Issued in NY

Practice address

321 Genesee St
Oneida, NY 13421-2611

Phone

(315) 363-6000

NPI assigned

Sep 14, 2006

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

Other identifiers 3

Other names 1

• Janice E Fullagar Former name

Medicare fee-for-service enrollment

Enrolled in NY

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Auburn Memorial Medical Services PCGroup PAC ID 6406931385, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

Merit-based Incentive Payment System (MIPS)

Final score

73.63 of 100Reported as group

Quality

64.83

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

75.68 of 100Reported as group

Quality

48.88

Promoting interoperability

91

Improvement activities

40

Cost

71.94

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Medicare reassignment Care Compare group NPD
• Auburn Memorial Medical Services, PC

  • Orthopaedic Surgery Physician
  • Auburn, NY
  • NPI 1194913749
  Medicare reassignment Care Compare group
• Canton-Potsdam Hospital

  • General Acute Care Hospital
  • Potsdam, NY
  • NPI 1568548782
  Medicare reassignment
• Auburn Community Hospital

  • Internal Medicine Physician
  • Auburn, NY
  • NPI 1336855683
  NPD
• Auburn Memorial Medical Services, PC

  • Foot & Ankle Surgery Podiatrist
  • Auburn, NY
  • NPI 1467151852
  NPD
• Canton-Potsdam Hospital

  • Medicare Defined Swing Bed Hospital Unit
  • Potsdam, NY
  • NPI 1114104445
  NPD

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

• Auburn Community Hospital

  • General Acute Care Hospital
  • Auburn, NY
  • NPI 1093712911
  Care Compare affiliation

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464739200000",
    "number": "1447355342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "JANICE",
        "middle_name": "E.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2016-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "003705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400273422",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "003705",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04362061",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANICE",
            "last_name": "FULLAGAR",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana L Schuyler, LCSW
• Valerie L Scott, FNP
• Barbara Anne Seakan, PHARMD
• James S Sefick, RN
• Mary L Seymour, NP
• Marguerite Rice Shifrin, RN, APRN, WHNP
• James Brian Shovlin, R.PH.
• Amber Sielski
• Erica Louise Ann Silkowski
• Cheryl Simmons, MS, PT

• Physician Assistant in Oneida, NY
• Providers in Oneida, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2016; 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.