Caitlin Shea, D.O

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB09391700 Issued in NJ

Practice address

202 Route 206 N
Suite a
Sandyston, NJ 07826-5082

Phone

(973) 948-5577

Fax

(973) 948-0067

NPI assigned

Jun 30, 2011

Last updated

Feb 3, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

West Virginia School of Osteopathic Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Associates LLCGroup PAC ID 0840283008, 45 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Atlantic Visiting Nurse Home health agency, Morristown, NJ, CCN 317054
• Morristown Medical Center Hospital, Morristown, NJ, CCN 310015
• Newton Medical Center Hospital, Newton, NJ, CCN 310028
• Wayne Memorial Hospital Hospital, Honesdale, PA, CCN 390125

Merit-based Incentive Payment System (MIPS)

Final score

78.05 of 100Reported as apm

Quality

65.09

Promoting interoperability

85

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: caitlinshea@premiernj.allscriptsdirect.net
• FHIR API: https://fhir4.healow.com/fhir/r4/EDJHBA

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.

• Premier Health Associates LLC

  • Internal Medicine Physician
  • Newton, NJ
  • NPI 1043257991
  Medicare reassignment Care Compare group NPD
• Premier Health Associates, LLC

  • Clinic/Center
  • Sparta, NJ
  • NPI 1881882785
  NPD

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

• Ahs Hospital Corp

  dba Newton Medical Center

  • General Acute Care Hospital
  • Newton, NJ
  • NPI 1790789212
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Morristown Medical Center

  • General Acute Care Hospital
  • Morristown, NJ
  • NPI 1053384776
  Care Compare affiliation
• Ahs Hospital Corp.

  dba Atlantic Home Care & Hospice

  • Home Health Agency
  • Morristown, NJ
  • NPI 1962479667
  Care Compare affiliation
• Wayne Memorial Hospital

  • General Acute Care Hospital
  • Honesdale, PA
  • NPI 1124026182
  Care Compare affiliation

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486080000000",
    "number": "1801183702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 LAFAYETTE RD",
            "address_2": "SUITE 300",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078714411",
            "telephone_number": "973-940-0423",
            "fax_number": "973-940-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 ROUTE 206 N",
            "address_2": "SUITE A",
            "city": "SANDYSTON",
            "state": "NJ",
            "postal_code": "078265082",
            "telephone_number": "973-948-5577",
            "fax_number": "973-948-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEA",
        "first_name": "CAITLIN",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2017-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09391700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Jean Ientile, NURSE PRACTITIONER
• Rick Klatt, MSPT
• Lauren Taylord Health and Wellness LLC
• Ronald J Luszcz, DO
• Rachel C Rembish, MS, CCC-SLP
• The Family Resource Network

• Family Medicine Physician in Sandyston, NJ
• Providers in Sandyston, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.