MS. KRISTEN SHEA
NPI 1285002188
Nurse Practitioner - Adult Health in Atlanta, GA

Q: What is Kristen Shea's NPI number?

The NPI number for Kristen Shea is 1285002188. It was assigned to this individual provider in the NPPES registry on September 9, 2015.

Q: What is Kristen Shea's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kristen Shea was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.

Active since September 09, 2015PECOS EnrolledAccepts Medicare Assignment

1263 MORELAND AVE SE, ATLANTA, GA 30316(470) 444-3137(470) 202-3003 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2023, May 16, 2022, Jan 27, 2022 and 2 more (5 updates tracked since 2019).

On this page

About Ms. Kristen Shea NPPES

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

MS. KRISTEN SHEA (NPI 1285002188) is an individual adult health provider in Atlanta, Georgia, licensed in Georgia (RN281762) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Emory Decatur Hospital, and maintains 9 additional practice locations.

NPPES Registry Identity

NPI1285002188

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameMS. KRISTEN SHEA

Location Address1263 MORELAND AVE SEAtlanta, GA 30316-3183

Mailing AddressPo Box 740015Atlanta, GA 30374-0015 · (312) 733-9730 · Fax (773) 866-8014

Phone(470) 444-3137

Fax(470) 202-3003

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateSeptember 9, 2015

Last NPPES UpdateOctober 24, 20245 updates tracked since enumeration

NPPES CertifiedOctober 24, 2024

✔ NPI 1285002188 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

Licenses✔ Licensed in GA · RN281762✔ Licensed in MD · R187273

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License R187273 (MD)

1263 MORELAND AVE SE, Atlanta, GA 30316

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Secondary Practice Locations 9

Location 16095 Marshalee DrElkridge, MD 21075-6053 · Phone (800) 307-7820

Location 22850 Springdale Rd SWAtlanta, GA 30315 · Phone (404) 762-8672

Location 31825 Rockbridge Rd Ste 15BStone Mountain, GA 30087-3306 · Phone (470) 444-3134 · Fax (470) 276-4370

Location 47028 Highway 85Riverdale, GA 30274-2946 · Phone (470) 444-3136 · Fax (470) 298-7730

Location 53088 Washington RdEast Point, GA 30344-4566 · Phone (470) 444-3135 · Fax (404) 777-9336

Location 62732 Candler RdDecatur, GA 30034-1410 · Phone (470) 444-3133 · Fax (470) 276-4051

Location 71631 Gordon Hwy Ste 17AAugusta, GA 30906-2229 · Phone (706) 261-0018 · Fax (762) 257-7442

Location 8625 S Marietta Pkwy SEMarietta, GA 30060-2748 · Phone (470) 377-7228 · Fax (470) 467-7583

Location 9677 Cascade Ave SWAtlanta, GA 30310-2404 · Phone (470) 444-3143 · Fax (470) 467-7469

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

Ms. Kristen Shea 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 ID2466760194

PECOS Enrollment IDI20190405002218

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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

66 services40 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.

33 services33 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

17 services17 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.

13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Emory Decatur Hospital

Acute Care Hospitals · Decatur, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110076

Location2701 N Decatur RoadDecatur, GA 30033 · De Kalb County

Emergency services Birthing friendly

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110078

Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30316 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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 8

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers19 claims530 services$4.50 avg. paid by Medicare

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims5,839 services$0.55 avg. paid by Medicare

Enteral nutrition infusion pump, any type B9002

Other-Enteral and Parenteral · category OB005N

2 suppliers13 claims13 services$46.22 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers11 claims11 services$38.92 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

2 suppliers12 claims12 services$39.00 avg. paid by Medicare

Iv pole E0776

DME-Other DME · category DE000N

2 suppliers16 claims16 services$3.83 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 7

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

DR. SUZANNE DIMPLE CLARKE M.D.

Family Medicine