REBBECCA SHEA (PA-C) – Medical Physician Assistant, NPI 1164877486

REBBECCA SHEA (PA-C) is a healthcare provider. based in Johnston, Rhode Island. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA00831 (RI). The NPI Number for REBBECCA SHEA (PA-C) is 1164877486

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
REBBECCA SHEA (PA-C)
NPI
1164877486
Phone
(401) 239-1800
Address
1524 Atwood Ave
Enumeration Date
25 April 2016
Last Update Date
30 January 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012391800
Graduation Year
2015 (11 years ago)
PAC ID
5991098865
Group Practice PAC ID
1759550643
Professional Enrollment ID
I20160729001591
Address ID
RI028425237MI102XXRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

774 PHYSICIAN ASSISTANT in RI

Provider Addresses for REBBECCA SHEA (PA-C)

  • 1524 Atwood Ave

    Suite 321

    Johnston, RI 029193228

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Location

  • 851 Main St

    Warren, RI 028854402

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Location

  • 1525 Wampanoag Trl Ste 203

    Riverside, RI 029151038

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Location

  • 67 William S Canning Blvd

    Tiverton, RI 028783003

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Location

  • 618 Toll Gate Rd

    Warwick, RI 028862717

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Location

  • 102, Valley Road, Wawa, Middletown Township, Delaware County, Pennsylvania, 19063, United States

    MIDDLETOWN, RI 028425237

    Phone: (401) 239-1800

    Fax: (401) 239-1801

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $1,729.

Total Amount is formed as General ($1,729) + Research ($0) + Ownership ($0) = $1,729.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Janssen Biotech, Inc. ($517).

Total Amount

$1,729

General + Research + Ownership

Payments

58

Total payment records

General Amount

$1,729

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2016-07-29

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
I20160729001591IPhysician AssistantRITBD

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
17003Destruction of precancer skin growth, 2-14 growths45173$0
99213Established patient office or other outpatient visit, 20-29 minutes234155$0
17000Destruction of precancer skin growth, 1 growth159108$0
11102Biopsy of related skin growth, first growth132116$0
17110Destruction of skin growth, 1-14 growths10069$0
View full utilization report →

Insurance plans in this area (ZIP 02919)

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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: 1759550643View full group profile
NameSpecialtyState
D E R M A T O L O G YCA
Nurse PractitionerRI
Physician AssistantRI
D E R M A T O L O G YRI
Dermatology, Micrographic Dermatologic Surgery (Mds)RI
Physician AssistantRI
D E R M A T O L O G YRI
Micrographic Dermatologic Surgery (Mds), Dermatology, Dermatology, Micrographic Dermatologic Surgery (Mds)NV
Physician AssistantRI
Physician AssistantRI

Reviews

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Frequently asked questions

What identifier follows REBBECCA SHEA (PA-C) across health systems?
The NPI 1164877486 uniquely identifies REBBECCA SHEA (PA-C) in U.S. healthcare data.
Is REBBECCA SHEA (PA-C)'s NPI status active today?
Active status means REBBECCA SHEA (PA-C)'s NPI record is not deactivated in the public file.
What services align with REBBECCA SHEA (PA-C)'s listing?
REBBECCA SHEA (PA-C)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit REBBECCA SHEA (PA-C) in Johnston, Rhode Island?
For routing, start with Johnston, Rhode Island for REBBECCA SHEA (PA-C), 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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