RYAN M SHEEHAN LCSW
NPI 1235697954
Social Worker - Clinical in Machesney Park, IL
About Ryan M Sheehan Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RYAN M SHEEHAN LCSW (NPI 1235697954) is an individual clinical provider in Machesney Park, Illinois, licensed in Illinois (149.023568) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ryan M Sheehan Lcsw 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.
Medicare Billing Reassignments
4Medicare enrollment records show Ryan Sheehan reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rockford, IL 61107
- Reassigned Medicare billing, Illinois enrollment
- 99 clinicians in this Medicare group
Durham, NC 27701
- Reassigned Medicare billing, Illinois enrollment
- 107 clinicians in this Medicare group
Miami, FL 33136
- Reassigned Medicare billing, Illinois enrollment
- 23 clinicians in this Medicare group
San Francisco, CA 94131
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Brightside Medical PA
- 50 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61115 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Ryan Sheehan's NPI number?
The NPI number for Ryan Sheehan is 1235697954. It was assigned to this individual provider in the NPPES registry on March 12, 2019.
Where is Ryan Sheehan located?
Ryan Sheehan practices at 2972 Vaughndale Dr, Machesney Park, IL 61115. The listed phone number is (815) 540-7862.
What is Ryan Sheehan's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Ryan Sheehan enrolled in Medicare?
Yes. Ryan Sheehan 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.
Which organizations bill Medicare for Ryan Sheehan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ryan Sheehan reassigns Medicare benefits to 4 organizations: Rosecrance Inc (Rockford, IL), Mental Health Specialty Group PA (Durham, NC), Brave Health Medical Group PA (Miami, FL) and Brightside Medical, P.A. (San Francisco, CA). 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 Ryan Sheehan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ryan Sheehan accept?
Health plans from Anthem Blue Cross and Blue Shield, Dean Health Plan, Harvard Pilgrim Health Care, Oscar Health and UnitedHealthcare list Ryan Sheehan 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 Ryan Sheehan was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ryan M Sheehan, LCSW · NPI 1235697954
Clinical provider in Machesney Park, Illinois. Individual provider, active in the CMS NPPES registry since March 12, 2019.
## Identity
- **NPI:** 1235697954 (Entity type: Individual)
- **Enumerated:** March 12, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 149.023568 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 2972 VAUGHNDALE DR, Machesney Park, IL 61115-7670
- **Phone:** (815) 540-7862
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Rosecrance Inc (NPI 1356327340, Rockford, IL); Mental Health Specialty Group PA (NPI 1801472634, Durham, NC); Brave Health Medical Group PA (NPI 1225669161, Miami, FL); Brightside Medical, P.A. (NPI 1609335660, San Francisco, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** May 4, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1235697954) · Data from the CMS NPPES public registry.