SHEA FETHERSTON CHUBBUCK (PA-C) – Physician Assistant, NPI 1295055077
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,190 PHYSICIAN ASSISTANT in CO
Provider Addresses for SHEA FETHERSTON CHUBBUCK (PA-C)
2515 FORESIGHT CIR UNIT 200
GRAND JUNCTION, CO 815051156
Phone: (970) 245-2400
Fax: (970) 242-9092
Type: Mailing
2515 FORESIGHT CIR UNIT 100
GRAND JUNCTION, CO 815051156
Phone: (970) 242-8177
Fax: (970) 255-3558
Type: Location
2643 PATTERSON RD
SUITE 503
GRAND JUNCTION, CO 815061936
Phone: (970) 245-2400
Fax: (970) 242-9092
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $16.
Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.
Last reported payment date: 2023-04-19 • Largest payer in this snapshot: ABBVIE INC. ($16).
Total Amount
$16
General + Research + Ownership
Payments
1
Total payment records
General Amount
$16
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-04-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $16 |
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: 2014-10-07
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20141007002703 | I | Physician Assistant | CO | 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 81505)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CO | |
| D E R M A T O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | CO | |
| O T O L A R Y N G O L O G Y | CO | |
| Plastic And Reconstructive Surgery | CO | |
| Qualified Audiologist | CO | |
| Qualified Audiologist | UT | |
| General Surgery | UT | |
| O T O L A R Y N G O L O G Y | ND | |
| Plastic And Reconstructive Surgery | CO |
Reviews
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