TRISHA SHEELEY MD
NPI 1194772079
Internal Medicine in Cedar Rapids, IA

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
543 7TH ST SE, CEDAR RAPIDS, IA 52401(319) 369-4505(319) 369-4677 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trisha Sheeley Md NPPES

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

TRISHA SHEELEY MD (NPI 1194772079) is an individual internal medicine provider in Cedar Rapids, Iowa, licensed in Iowa (33420) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of University Of Nebraska College Of Medicine (1997).

NPPES Registry Identity

NPI1194772079
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameTRISHA SHEELEYCredential: MD
Location Address543 7TH ST SECedar Rapids, IA 52401-1929
Mailing AddressPo Box 1824Cedar Rapids, IA 52406-1824 · (319) 369-4505 · Fax (319) 369-4677
Fax(319) 369-4677
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1997
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 25, 2007
NPI 1194772079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IA · 33420
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
543 7TH ST SE, Cedar Rapids, IA 52401

Other Identifiers 3

Medicare UPINH20103IA
Medicaid1220145IA
Medicare PINI17565

Accepted 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

Trisha Sheeley 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 ID8426069584
PECOS Enrollment IDI20060606000130
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 29

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 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.
696 services413 patients
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.
558 services355 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.
508 services338 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.
393 services393 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
264 services153 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
131 services131 patients

Hospital Affiliations CMS Care Compare 3

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

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Mercy Medical Center - Cedar Rapids

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160079
Location701 10th Street SECedar Rapids, IA 52403 · Linn County
Emergency services Birthing friendly

Regional Medical Center

Critical Access Hospitals · Manchester, IA
OwnershipGovernment - Local
CMS Certification Number161343
Location709 W Main StreetManchester, IA 52057 · Delaware County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52401 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
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 19

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
3 suppliers16 claims208 services$18.45 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
3 suppliers16 claims480 services$2.36 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
36 suppliers154 claims398 services$5.42 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
20 suppliers44 claims53 services$0.96 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers21 claims21 services$37.42 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers29 claims29 services$90.80 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 11

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

Internal Medicine
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Internal Medicine
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Nurse Practitioner
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Internal Medicine (Nephrology)
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Internal Medicine
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Nurse Practitioner
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Nurse Practitioner
543 7TH ST SE
CEDAR RAPIDS, IA 52401
Internal Medicine
543 7TH ST SE, INTERNIST ASSOCIATES OF IOWA
CEDAR RAPIDS, IA 52401

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 Trisha Sheeley's NPI number?

The NPI number for Trisha Sheeley is 1194772079. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Trisha Sheeley located?

Trisha Sheeley practices at 543 7th St SE, Cedar Rapids, IA 52401. The listed phone number is (319) 369-4505.

What is Trisha Sheeley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Trisha Sheeley enrolled in Medicare?

Yes. Trisha Sheeley 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 Trisha Sheeley accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Trisha Sheeley 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 Trisha Sheeley affiliated with any hospitals?

According to CMS data, Trisha Sheeley is affiliated with St Lukes Hospital, Mercy Medical Center - Cedar Rapids and Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Trisha Sheeley was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.