Ashley Rae Sheeter, PSYD.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

3740-57 Issued in WI

Practice address

2820 Roosevelt Rd
Marinette, WI 54143-3834

Phone

(920) 433-6073

Fax

(715) 735-5388

NPI assigned

Apr 29, 2015

Last updated

Jul 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Ashley Rae Potter Former name

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bellin Memorial Hospital IncGroup PAC ID 8820900749, 685 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bellin Memorial Hospital Inc

  dba Bellin Health Algoma

  • Rural Health Clinic/Center
  • Algoma, WI
  • NPI 1609838473

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Bellin Psychiatric Center Inc

  dba Bellin Behavior Health Bellevue Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1952554800

  Multi-Specialty

  Medicare reassignment NPD
• Oconto Hospital & Medical Center Inc

  dba Emplify Health Oconto Hospital

  • Critical Access Hospital
  • Oconto, WI
  • NPI 1356373302

  Multi-Specialty

  Medicare reassignment NPD
• Bellin Memorial Hospital Inc

  dba Bellin Health

  • Family Medicine Physician
  • Green Bay, WI
  • NPI 1033172390

  Multi-Specialty

  NPD
• Bellin Memorial Hospital Inc

  dba FMC Pediatrics West

  • Pediatrics Physician
  • Green Bay, WI
  • NPI 1871556134

  Multi-Specialty

  NPD
• Bellin Psychiatric Center Inc

  dba Bellin Health Riverside Psychiatric Group

  • Mental Health Counselor
  • De Pere, WI
  • NPI 1588025720

  Psychologist

  NPD
• Bellin Psychiatric Center Inc.

  dba Bellin Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Green Bay, WI
  • NPI 1598728776

  Psychologist

  NPD
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Suring

  • Rural Health Clinic/Center
  • Suring, WI
  • NPI 1104418037

  Multi-Specialty

  NPD
• Oconto Hospital & Medical Center Inc

  dba Bellin Health Marinette

  • Rural Health Clinic/Center
  • Marinette, WI
  • NPI 1528412673

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1467839464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22040",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052040",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 ROOSEVELT RD",
            "city": "MARINETTE",
            "state": "WI",
            "postal_code": "541433834",
            "telephone_number": "920-433-6073",
            "fax_number": "715-735-5388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E Saint Joseph St",
            "address_purpose": "LOCATION",
            "city": "Green Bay",
            "state": "WI",
            "postal_code": "543012241",
            "country_code": "US",
            "telephone_number": "920-433-6073",
            "fax_number": "920-431-0333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Prosperous Pl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405091898",
            "country_code": "US",
            "telephone_number": "859-296-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEETER",
        "first_name": "ASHLEY",
        "middle_name": "RAE",
        "credential": "PSYD.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3740-57",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD CERTIFICATION NATION REGISTER OF HEALTH SERVICE PSYCHOLOGISTS",
            "identifier": "1467839464",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790731081",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "POTTER",
            "middle_name": "RAE",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle L Shallow, PTA
• Samantha Jean Shallow
• Michael Richard Shampo, LAT, ATC
• Sarah Marie Shampo
• Michael John Shanks, M.D.
• Jennifer Shehow, NP
• Shopko Stores Operating Co LLC (Shopko Pharmacy 509)
• Shopko Stores Operating Co LLC (ShopKo Pharmacy 102)
• Shopko Stores Operating Co. LLC (ShopKo Optical 102)
• Shoptikal LLC (Shopko Optical 4102)

• Psychologist in Marinette, WI
• Providers in Marinette, WI by specialty
• Psychologist in Wisconsin

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