Shea Quesenberry Hamm

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

001219427 Issued in VA

Practice address

1900 Electric Rd
Salem, VA 24153-7494

Phone

(540) 776-4274

NPI assigned

Sep 9, 2022

Last updated

Sep 9, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in VA

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

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kingsford Physician Services LLCGroup PAC ID 0840541017, 15 clinicians

Wildwood Physician Services LLCGroup PAC ID 1850649310, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Kingsford Physician Services, LLC

  • Hospitalist Physician
  • Pulaski, VA
  • NPI 1871088526
  Medicare reassignment Care Compare group NPD
• Wildwood Physician Services, LLC

  • Emergency Medicine Physician
  • Blacksburg, VA
  • NPI 1629560917
  Medicare reassignment Care Compare group NPD

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

• Montgomery Regional Hospital Inc

  dba Lewisgale Hospital Montgomery

  • General Acute Care Hospital
  • Blacksburg, VA
  • NPI 1275570376
  Care Compare affiliation

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1730800434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 INDIAN VALLEY RD NW",
            "city": "WILLIS",
            "state": "VA",
            "postal_code": "243804185",
            "telephone_number": "540-239-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELECTRIC RD",
            "city": "SALEM",
            "state": "VA",
            "postal_code": "241537494",
            "telephone_number": "540-776-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMM",
        "first_name": "SHEA",
        "middle_name": "QUESENBERRY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "001219427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patti Hall
• Susan Britton Hall, LCSW
• Emily Halsey
• Adam Wali Hamidi, D.O.
• Mark D Hamilton, M.D.
• Natalie Dean Hammel
• Jennifer Rose Hammond, AU.D.
• Ellen Hamrick, RN
• Mark R Hanabury Jr., M.D.
• Linda Handy, PNP

• Registered Nurse in Salem, VA
• Providers in Salem, VA by specialty
• Registered Nurse in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; 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.