1. Home
  2. Directory
  3. California
  4. Los Angeles
  5. Pediatrics
  6. NPI Profile

KELSEY GRACE SHEA
NPI 1417585100
Pediatrics in Los Angeles, CA

Active since March 30, 2020PECOS Enrolled
1200 N STATE ST IRD 112, LOS ANGELES, CA 90033(323) 409-5707 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 23, 2024, Mar 30, 2020 (2 updates tracked since 2020).

About Kelsey Grace Shea NPPES

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

KELSEY GRACE SHEA (NPI 1417585100) is an individual pediatrics provider in Los Angeles, California, licensed in California (186311) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417585100
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameKELSEY GRACE SHEA
Location Address1200 N STATE ST IRD 112Los Angeles, CA 90033
Mailing Address2020 Zonal Ave Rm 112Los Angeles, CA 90089-0121 · (434) 305-6390
Phone(323) 409-5707
Sole ProprietorNo
Enumeration DateMarch 30, 2020
Last NPPES UpdateApril 23, 20242 updates tracked since enumeration
NPPES CertifiedApril 23, 2024
✔ NPI 1417585100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in CA · 186311
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1200 N STATE ST IRD 112, Los Angeles, CA 90033
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelsey Grace Shea is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Kelsey Shea's NPI number?

The NPI number for Kelsey Shea is 1417585100. It was assigned to this individual provider in the NPPES registry on March 30, 2020.

Where is Kelsey Shea located?

Kelsey Shea practices at 1200 N State St Ird 112, Los Angeles, CA 90033. The listed phone number is (323) 409-5707.

What is Kelsey Shea's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelsey Shea enrolled in Medicare?

Yes. Kelsey Shea is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelsey Shea was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.