MRS. SUSAN ABERNATHY SHEA ARNP
NPI 1356791610
Nurse Practitioner - Family in Iowa City, IA

Active since June 17, 2016PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, DEPT INTERNAL MED, IOWA CITY, IA 52242(319) 356-4019(319) 353-8073 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 4, 2025, Jun 20, 2016, Jun 17, 2016 (3 updates tracked since 2016).

About Mrs. Susan Abernathy Shea Arnp NPPES

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

MRS. SUSAN ABERNATHY SHEA ARNP (NPI 1356791610) is an individual family provider in Iowa City, Iowa, licensed in Iowa (A120453) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Mercy Medical Center - Cedar Rapids, and maintains a secondary practice location in North Liberty.

NPPES Registry Identity

NPI1356791610
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. SUSAN ABERNATHY SHEACredential: ARNP
Location Address200 HAWKINS DR, DEPT INTERNAL MEDIowa City, IA 52242-1009
Mailing Address200 Hawkins Dr, Dept Internal Med Se611ghIowa City, IA 52242-1009 · (319) 356-4019 · Fax (319) 353-8073
Fax(319) 353-8073
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJune 17, 2016
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1356791610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IA · A120453
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Location 1

Location 1701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 384-6562 · Fax (319) 356-3949

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

Mrs. Susan Abernathy Shea Arnp 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 ID840585444
PECOS Enrollment IDI20160822001388
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

2

Medicare enrollment records show Susan Shea reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1765 LININGER LN
North Liberty, IA 52317
  • Reassigned Medicare billing, Iowa enrollment
  • 108 clinicians in this Medicare group
Family Medicine
2815 EDGEWOOD RD SW
Cedar Rapids, IA 52404
  • Reassigned Medicare billing, Iowa enrollment
  • 60 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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
152 services78 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services25 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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.

Other Providers at the Same Location NPPES 20

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

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

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 Susan Shea's NPI number?

The NPI number for Susan Shea is 1356791610. It was assigned to this individual provider in the NPPES registry on June 17, 2016.

Where is Susan Shea located?

Susan Shea practices at 200 Hawkins Dr Dept Internal Med, Iowa City, IA 52242. The listed phone number is (319) 356-4019.

What is Susan Shea's specialty?

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

Is Susan Shea enrolled in Medicare?

Yes. Susan 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 Susan Shea's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Shea reassigns Medicare benefits to 2 organizations: Mercy Physician Associates, Inc (North Liberty, IA) and Mercy Care Management, Inc (Cedar Rapids, IA). 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 Susan Shea's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Shea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Susan 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.

Is Susan Shea affiliated with any hospitals?

According to CMS data, Susan Shea is affiliated with Mercy Medical Center - Cedar Rapids.

When was this NPI record last updated?

The NPPES record for Susan Shea was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.