SHELBY ANNIS SHEEHAN PMHNP-BC
Accepted Insurance for NPI 1134819600
Nurse Practitioner - Psychiatric/Mental Health in Bondurant, IA

Q: What managed care network types are accepted by this provider?

SHELBY ANNIS SHEEHAN PMHNP-BC is enrolled across the following managed care network types: EPO, HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since May 09, 2023

Contact Information

88 PAINE CIR SE
OFC 603
BONDURANT, IA
ZIP 50035
Phone: (515) 715-2041

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SHELBY ANNIS SHEEHAN PMHNP-BC, a practicing nurse practitioner professional in Bondurant, IA. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 94 individual coverage options managed by medical networks, including networks like Medica, Oscar Insurance Company, and Providence Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Medica

Elevate by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050041

Elevate by Medica Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050029

Elevate by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050073

Elevate by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050045

Elevate by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050074

Elevate by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050055

Elevate by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050047

Elevate by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050075

Elevate by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0050057

Inspire by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070074

Inspire by Medica Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070029

Inspire by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070073

Inspire by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070045

Inspire by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070075

Inspire by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070055

Inspire by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070047

Inspire by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070027

Inspire by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0070057

Medica Insure Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060041

Medica Insure Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060029

Medica Insure Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060073

Medica Insure Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060045

Medica Insure Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060074

Medica Insure Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060055

Medica Insure Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060047

Medica Insure Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060027

Medica Insure Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060057

Medica with CHI Health Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080041

Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130003

Medica with CHI Health Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080029

Medica with CHI Health Bronze Share + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130006

Medica with CHI Health Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080073

Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130009

Medica with CHI Health Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080045

Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130001

Medica with CHI Health Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080074

Medica with CHI Health Gold Share + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130004

Medica with CHI Health Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080055

Medica with CHI Health Gold Standard + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130007

Medica with CHI Health Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080047

Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130002

Medica with CHI Health Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080075

Medica with CHI Health Silver Share + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130005

Medica with CHI Health Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0080057

Medica with CHI Health Silver Standard + Adult Eye Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0130008

Oscar Insurance Company

Bronze Classic 4700

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010060

Bronze Classic 4700 | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024

Bronze Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010065

Bronze Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050

Bronze Elite + PCP Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010056

Bronze Elite + PCP Saver Plus | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005

Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070

Bronze Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071

Bronze Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072

Gold Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010067

Gold Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053

Gold Elite

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010063

Gold Elite | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036

Secure

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058

Secure | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011

Silver Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010057

Silver Classic | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006

Silver Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010066

Silver Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052

Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076

Silver Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077

Silver Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010064

Silver Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045

Silver Simple PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010061

Silver Simple PCP Saver | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025

Silver Simple Women's Health with Menopause Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078

Providence Health Plan

Connect 1500 Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380008

Connect 6000 Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380013

Connect 9800 Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380014

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100002

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100001

UHC Bronze Value ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100003

UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0110001

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100009

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0110003

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100008

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100007

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100006

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100004

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0100005

UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

56610IA0110002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does SHELBY ANNIS SHEEHAN PMHNP-BC accept?

This provider accepts health insurance plans managed by the following insurance companies: Medica, Oscar Insurance Company, Providence Health Plan, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

SHELBY ANNIS SHEEHAN PMHNP-BC is enrolled across the following managed care network types: EPO, HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.