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NICOLE KAY SHEA NP-C
NPI 1174140552
Nurse Practitioner - Family in Sioux City, IA

Active since July 01, 2020PECOS Enrolled
4201 FIELDCREST DR, SIOUX CITY, IA 51103(800) 223-9564(855) 501-9000 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 9, 2026, Jul 27, 2020, Jul 1, 2020 (3 updates tracked since 2020).

About Nicole Kay Shea Np-c NPPES

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

NICOLE KAY SHEA NP-C (NPI 1174140552) is an individual family provider in Sioux City, Iowa, licensed in Iowa (A159805) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Sioux City.

NPPES Registry Identity

NPI1174140552
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameNICOLE KAY SHEACredential: NP-C
Location Address4201 FIELDCREST DRSioux City, IA 51103-3184
Mailing Address201 Jordan RdFranklin, TN 37067-4495 · (800) 223-9564 · Fax (855) 501-9000
Phone(800) 223-9564
Fax(855) 501-9000
Sole ProprietorNo
Enumeration DateJuly 1, 2020
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1174140552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A159805
Also ListedRegistered NurseTaxonomy 163W00000X · License 112903 (IA)
4201 FIELDCREST DR, Sioux City, IA 51103
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Secondary Practice Location 1

Location 13800 Indian Hills DrSioux City, IA 51104-1620 · Phone (800) 223-9564

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Kay Shea Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Nicole Shea reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Providence Medical Center
33 mi
Primary Care
1200 PROVIDENCE RD
Wayne, NE 68787
  • Reassigned Medicare billing, Nebraska enrollment
  • 55 clinicians in this Medicare group
NPI 1699556647 (402) 375-3800
Trinity Regional Medical Center
116 mi
Emergency Medicine
802 KENYON RD
Fort Dodge, IA 50501
  • Reassigned Medicare billing, Iowa enrollment
  • 387 clinicians in this Medicare group
NPI 1073594156 (515) 573-3101
Truhealth, LLC
650 mi
Nurse Practitioner
1971 TENNESSEE AVE N
Parsons, TN 38363
  • Reassigned Medicare billing, Iowa enrollment
  • 20 clinicians in this Medicare group
NPI 1063843951 (615) 282-6498

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
319 services221 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.
179 services144 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
54 services46 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, each additional 15 minutes with qualified health professional 95984
This procedure involves the evaluation of implanted neurostimulators in the brain, spinal cord, or peripheral nerves. It includes programming adjustments to optimize its function. A qualified health professional performs this every additional 15 minutes to ensure proper functioning.
51 services13 patients
Electronic analysis of implanted brain, spinal cord, or peripheral neurostimulator generator with brain stimulator programming, first 15 minutes with qualified health professional 95983
This procedure involves a medical professional using electronic equipment to analyze and adjust your implanted neurostimulator, which helps manage nerve activity in your brain, spinal cord, or peripheral nerves. The process typically takes 15 minutes.
49 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 51103 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$18.98 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers12 claims12 services$18.34 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers11 claims66 services$2.99 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers20 claims20 services$44.85 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

BRIGITTE ANN MANN ARNP
Registered Nurse
4201 FIELDCREST DR
SIOUX CITY, IA 51103
Woodbury County (712) 490-5557
CARE INITIATIVES
Skilled Nursing Facility
4201 FIELDCREST DR
SIOUX CITY, IA 51103
Woodbury County (712) 258-0135

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 Nicole Shea's NPI number?

The NPI number for Nicole Shea is 1174140552. It was assigned to this individual provider in the NPPES registry on July 1, 2020.

Where is Nicole Shea located?

Nicole Shea practices at 4201 Fieldcrest Dr, Sioux City, IA 51103. The listed phone number is (800) 223-9564.

What is Nicole Shea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Nicole Shea enrolled in Medicare?

Yes. Nicole Shea is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicole Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Shea reassigns Medicare benefits to 3 organizations: Providence Medical Center (Wayne, NE), Trinity Regional Medical Center (Fort Dodge, IA) and Truhealth, LLC (Parsons, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Shea accept?

Health plans from Avera Health Plans, Blue Cross and Blue Shield of Nebraska and Oscar Insurance Company list Nicole Shea 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.

When was this NPI record last updated?

The NPPES record for Nicole Shea was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.