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KELSEY L SHEAN MD
NPI 1124513767
Family Medicine in Oregon, WI

Active since June 26, 2018PECOS EnrolledAccepts Medicare Assignment
753 N MAIN ST, OREGON, WI 53575(608) 835-2222(608) 835-1090 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 26, 2022, Sep 27, 2022, Jun 26, 2018 (3 updates tracked since 2018).

About Kelsey L Shean Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSEY L SHEAN MD (NPI 1124513767) is an individual family medicine provider in Oregon, Wisconsin, licensed in Wisconsin (77470-20) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, is affiliated with The Monroe Clinic, and is a graduate of Indiana University School Of Medicine (2018).

NPPES Registry Identity

NPI1124513767
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKELSEY L SHEANCredential: MD
Location Address753 N MAIN STOregon, WI 53575-1003
Mailing Address753 N Main StOregon, WI 53575-1003 · (608) 835-2222 · Fax (608) 835-1090
Phone(608) 835-2222
Fax(608) 835-1090
Sole ProprietorYes
Medical School CMSIndiana University School Of MedicineGraduated 2018
Enumeration DateJune 26, 2018
Last NPPES UpdateOctober 26, 20223 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1124513767 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WI · 77470-20
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.072869 (IL), 77470-20 (WI)
Also ListedPediatricsTaxonomy 208000000X · License 77470-20 (WI)
753 N MAIN ST, Oregon, WI 53575
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Other Identifiers 1

Medicaid1124513767WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey L Shean Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062762800
PECOS Enrollment IDI20221010000910
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
237 services128 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
205 services113 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
81 services81 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
68 services56 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
49 services41 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test 85027
A complete blood cell count (CBC) is an automated test that measures different components of the blood, including red cells, white cells, and platelets. It helps assess overall health, detect disorders like anemia or infection, and monitor medical treatments.
25 services23 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Monroe Clinic

Acute Care Hospitals · Monroe, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520028
Location515 22nd AveMonroe, WI 53566 · Green County
Emergency services Birthing friendly

Ssm Health St Mary's Hospital - Madison

Acute Care Hospitals · Madison, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520083
Location700 South Park StMadison, WI 53715 · Dane County
Emergency services Birthing friendly

Stoughton Hospital

Critical Access Hospitals · Stoughton, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521343
Location900 Ridge StStoughton, WI 53589 · Dane County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53575 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ADAM H BALIN MD
Family Medicine
753 N MAIN ST, DEAN MEDICAL CENTER
OREGON, WI 53575
Dane County (608) 835-3156
ROBERT ZORBA PASTER MD
Family Medicine
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-2222
LAURA L MENDYK MD
Family Medicine
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-2222
LORI A BROWN PA-C
Physician Assistant
753 N MAIN ST, DEAN MEDICAL CENTER
OREGON, WI 53575
Dane County (608) 835-3156
JOANNA R HEBGEN PA-C
Physician Assistant
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-2222
JAMES F DORRANCE IV PA-C
Physician Assistant
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-2222
DEAN HEALTH SYSTEMS, INC.
Durable Medical Equipment & Medical Supplies
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-2222
KAREN M BORDEN
Pharmacist
753 N MAIN ST
OREGON, WI 53575
Dane County (608) 835-7175

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsey Shean's NPI number?

The NPI number for Kelsey Shean is 1124513767. It was assigned to this individual provider in the NPPES registry on June 26, 2018.

Where is Kelsey Shean located?

Kelsey Shean practices at 753 N Main St, Oregon, WI 53575. The listed phone number is (608) 835-2222.

What is Kelsey Shean's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kelsey Shean enrolled in Medicare?

Yes. Kelsey Shean is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Kelsey Shean accept?

Health plans from Anthem Blue Cross and Blue Shield list Kelsey Shean as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kelsey Shean affiliated with any hospitals?

According to CMS data, Kelsey Shean is affiliated with The Monroe Clinic, Ssm Health St Mary's Hospital - Madison and Stoughton Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Shean was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.