Individual provider Active NPI

Tracey Sheedy, R.P.A.-C

  • Physician Assistant
  • New Milford, CT
National Provider Identifier
1710174537
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001908 Issued in CT
Practice address
11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone
(860) 355-1149
Fax
(860) 210-2008
NPI assigned
Sep 25, 2007
Last updated
May 7, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001908 CT Primary

Addresses

Primary practice location

11 Old Park Lane Rd
New Milford, CT 06776-2507

Mailing address

11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone (860) 355-1149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20130913000593 CT Practitioner - Physician Assistant 6305080268 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Milford Medical Group, LLCGroup PAC ID 3678469384, 10 clinicians

Practice addresses (Care Compare)

11 Old Park Lane
New Milford, CT 06776-2507

11 Old Park Lane Rd
New Milford, CT 06776-2507
Phone (860) 355-1149

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001908CTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Healthcare Associates LLC Past Accepting new patients
Franklin Medical Group, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1053/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tracey.sheedy.p1@direct.nmmg.nextgenshare.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1190678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1710174537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149",
            "fax_number": "860-210-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 OLD PARK LANE RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067762507",
            "telephone_number": "860-355-1149",
            "fax_number": "860-210-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEDY",
        "first_name": "TRACEY",
        "name_prefix": "Mrs.",
        "credential": "R.P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-25",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "001908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

Verify at the official NPI Registry.