MRS. KATHLEEN ANN O'SHEA (APN) – Gerontology Nurse Practitioner, NPI 1407397920

MRS. KATHLEEN ANN O'SHEA (APN) is a healthcare provider. based in Blackwood, New Jersey. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. 26NJ00706400 (NJ). The NPI Number for MRS. KATHLEEN ANN O'SHEA (APN) is 1407397920

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KATHLEEN ANN O'SHEA (APN)
NPI
1407397920
Phone
(856) 227-6575
Address
400 E CHURCH ST
Enumeration Date
16 March 2017
Last Update Date
16 March 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8565072783
Graduation Year
1990 (36 years ago)
PAC ID
1456620301
Group Practice PAC ID
8022271410
Professional Enrollment ID
I20170707002412
Address ID
NJ080281444GL1120XNXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

7,515 NURSE PRACTITIONER in NJ

Provider Addresses for MRS. KATHLEEN ANN O'SHEA (APN)

  • 400 E CHURCH ST

    BLACKWOOD, NJ 080123910

    Phone: (856) 227-6575

    Fax: (856) 374-9495

    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 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: 2024-10-21 • Largest payer in this snapshot: ACADIA Pharmaceuticals 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

2024-10-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-07-07

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170707002412INurse PractitionerNJTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99348Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes21171$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes16969$0
99347Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes15768$0
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes2922$0
View full utilization report →

Insurance plans in this area (ZIP 08012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8022271410View full group profile
NameSpecialtyState
Nurse PractitionerNJ
Nurse PractitionerNJ
Internal MedicineNJ
Physician AssistantNJ
Internal MedicineNJ
Nurse PractitionerPA
-NJ
Internal Medicine, Pulmonary DiseaseNJ
Geriatric MedicineNJ
Nurse PractitionerNJ

Reviews

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Frequently asked questions

What is the registry number for MRS. KATHLEEN ANN O'SHEA (APN)?
The registry entry for MRS. KATHLEEN ANN O'SHEA (APN) shows NPI 1407397920.
Is MRS. KATHLEEN ANN O'SHEA (APN)'s NPI status active today?
Active status means MRS. KATHLEEN ANN O'SHEA (APN)'s NPI record is not deactivated in the public file.
Which specialty label fits MRS. KATHLEEN ANN O'SHEA (APN)?
NPPES ties MRS. KATHLEEN ANN O'SHEA (APN) to Gerontology Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit MRS. KATHLEEN ANN O'SHEA (APN) in Blackwood, New Jersey?
For routing, start with Blackwood, New Jersey for MRS. KATHLEEN ANN O'SHEA (APN), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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