HOLLY SHEA (PA) – Physician Assistant, NPI 1497838825
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
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Provider Addresses for HOLLY SHEA (PA)
509, Webster Street, Jack London Square, Oakland, Alameda County, California, 94607, United States
OAKLAND, CA 946093149
Phone: (510) 452-0330
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $472.
Total Amount is formed as General ($472) + Research ($0) + Ownership ($0) = $472.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($150).
Total Amount
$472
General + Research + Ownership
Payments
22
Total payment records
General Amount
$472
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $150 |
| Arcutis Biotherapeutics, Inc. | $54 |
| Almirall LLC | $52 |
| Regeneron Healthcare Solutions, Inc. | $50 |
| Lilly USA, LLC | $38 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2009-10-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20091022000724 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 94609)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NY | |
| D E R M A T O L O G Y | OH | |
| - | CA | |
| Physician Assistant | CA | |
| Physician Assistant | NC | |
| D E R M A T O L O G Y | CA | |
| Physician Assistant | CA | |
| - | CA | |
| - | NV | |
| Physician Assistant | CA |
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