KATELYN SHEA (MD) – Dermatology Physician, NPI 1023470168

KATELYN SHEA (MD) is a healthcare provider. based in Jericho, Vermont. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. 042-0014957 (VT). The NPI Number for KATELYN SHEA (MD) is 1023470168

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
KATELYN SHEA (MD)
NPI
1023470168
Phone
(802) 899-5133
Address
65 ETHAN ALLEN RD
Enumeration Date
28 March 2016
Last Update Date
16 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE
Secondary Phone
8028640192
Graduation Year
2016 (10 years ago)
PAC ID
6305131897
Group Practice PAC ID
4688011992
Professional Enrollment ID
I20201112002551
Address ID
VT054465988CO354XXDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness85
Years active:10State licenses:2Digital endpointsOther names

39 DERMATOLOGY in VT

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Provider Addresses for KATELYN SHEA (MD)

  • 65, Ethan Allen Road, Jericho, Chittenden County, Vermont, 05465, United States

    JERICHO, VT 054653120

    Phone: (802) 899-5133

    Type: Mailing

  • University of Vermont Medical Center, 111, Colchester Avenue, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054011473

    Phone: (802) 847-2700

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-07-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20201112002551IDermatologyVTTBD
I20210729002423IDermatologyNYTBD

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 growths475123$0
99213Established patient office or other outpatient visit, 20-29 minutes286274$0
17000Destruction of precancer skin growth, 1 growth170162$0
99203New patient office or other outpatient visit, 30-44 minutes161161$0
17110Destruction of skin growth, 1-14 growths125122$0
View full utilization report →

Insurance plans in this area (ZIP 05465)

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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: 4688011992View full group profile
NameSpecialtyState
Physician AssistantVT
Physician AssistantVT
D E R M A T O L O G YVT
D E R M A T O L O G YNY
D E R M A T O L O G YFL
Nurse PractitionerVT
D E R M A T O L O G YCT
D E R M A T O L O G YGA
Physician AssistantVT
Physician AssistantVT

Reviews

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Frequently asked questions

Does KATELYN SHEA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KATELYN SHEA (MD) uses 1023470168.
Does the file indicate KATELYN SHEA (MD) is practicing under active NPI?
Directory data currently reports KATELYN SHEA (MD) as active.
What healthcare role does KATELYN SHEA (MD) hold?
Scheduling teams often label KATELYN SHEA (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is KATELYN SHEA (MD) based?
KATELYN SHEA (MD) is tied to Jericho, Vermont in the data we show; additional addresses may exist on the full record.
Is the information about KATELYN SHEA (MD) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."