MS. KELLY RAE SHEA FNP
NPI 1326710880
Nurse Practitioner - Family in Orchard Park, NY
About Ms. Kelly Rae Shea Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. KELLY RAE SHEA FNP (NPI 1326710880) is an individual family provider in Orchard Park, New York, licensed in New York (348603) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2013).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Kelly Rae Shea Fnp 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 Kelly Shea reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Buffalo, NY 14202
- Reassigned Medicare billing, New York enrollment
- 129 clinicians in this Medicare group
Buffalo, NY 14202
- Reassigned Medicare billing, New York enrollment
- 127 clinicians in this Medicare group
Gowanda, NY 14070
- Reassigned Medicare billing, New York enrollment
- 14 clinicians in this Medicare group
Orangeburg, NY 10962
- Reassigned Medicare billing, Florida enrollment
- 40 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 14127 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 Kelly Shea's NPI number?
The NPI number for Kelly Shea is 1326710880. It was assigned to this individual provider in the NPPES registry on October 4, 2021.
Where is Kelly Shea located?
Kelly Shea practices at 7 Kent Dr, Orchard Park, NY 14127. The listed phone number is (716) 474-6944.
What is Kelly Shea's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Shea enrolled in Medicare?
Yes. Kelly Shea 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 Kelly Shea's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shea reassigns Medicare benefits to 4 organizations: Mobile Physician Services PLLC (Buffalo, NY), Physician Mobile Medical Care PC (Buffalo, NY), Brooks - Tlc Hospital System, Inc. (Gowanda, NY) and Chaim Gitelis Do PC (Orangeburg, NY). 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 Kelly Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelly Shea was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Ms. Kelly Rae Shea, FNP · NPI 1326710880
Family physician in Orchard Park, New York. Individual provider, active in the CMS NPPES registry since October 4, 2021.
## Identity
- **NPI:** 1326710880 (Entity type: Individual)
- **Enumerated:** October 4, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 348603 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7 KENT DR, Orchard Park, NY 14127-3522
- **Phone:** (716) 474-6944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mobile Physician Services PLLC (NPI 1194132415, Buffalo, NY); Physician Mobile Medical Care PC (NPI 1518765502, Buffalo, NY); Brooks - Tlc Hospital System, Inc. (NPI 1487738886, Gowanda, NY); Chaim Gitelis Do PC (NPI 1154763894, Orangeburg, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2013
## Record status
- **NPPES last updated:** October 4, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1326710880) · Data from the CMS NPPES public registry.