KELSEY SHEAHAN
NPI 1457746315
Internal Medicine in Burlington, VT

Q: What is Kelsey Sheahan's NPI number?

The NPI number for Kelsey Sheahan is 1457746315. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Q: What is Kelsey Sheahan's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Sheahan was last updated on December 4, 2020. 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.

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2700 Get Directions Write a Review

NPPES record last updated: December 4, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelsey Sheahan NPPES

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

KELSEY SHEAHAN (NPI 1457746315) is an individual internal medicine provider in Burlington, Vermont, licensed in Vermont (042-0015014) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and maintains a secondary practice location in Saint Albans.

NPPES Registry Identity

NPI1457746315

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKELSEY SHEAHAN

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address57 Overlook DrSouth Burlington, VT 05403-7887

Phone(802) 847-2700

Sole ProprietorYes

Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2015

Enumeration DateMarch 30, 2015

Last NPPES UpdateDecember 4, 2020

NPPES CertifiedDecember 4, 2020

✔ NPI 1457746315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in VT · 042-0015014

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X · License 042-0015014 (VT)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 COLCHESTER AVE, Burlington, VT 05401

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Secondary Practice Location 1

Location 1133 Fairfield StSaint Albans, VT 05478-1726 · Phone (802) 524-8852 · Fax (802) 524-1087

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Kelsey Sheahan 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 ID1951604289

PECOS Enrollment IDI20210205001443

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 5

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 moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

294 services147 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

144 services61 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

45 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

33 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

21 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330079

Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

3 suppliers13 claims105 services$18.36 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

3 suppliers11 claims210 services$2.37 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

11 suppliers29 claims106 services$5.72 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers12 claims25 services$1.13 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

4 suppliers37 claims37 services$287.43 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

14 suppliers226 claims226 services$185.05 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 20

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

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Radiology (Diagnostic Radiology)