MRS. THERESA MARIE SHEAHAN NP
NPI 1871023341
Nurse Practitioner - Family in Rockford, IL

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
1100 BROADWAY, ROCKFORD, IL 61104(815) 490-1600 Get Directions Write a Review

NPPES record last updated: May 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2026, Jun 15, 2017 (2 updates tracked since 2017).

About Mrs. Theresa Marie Sheahan Np NPPES

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

MRS. THERESA MARIE SHEAHAN NP (NPI 1871023341) is an individual family provider in Rockford, Illinois, licensed in Illinois (209016072) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1871023341
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. THERESA MARIE SHEAHANCredential: NP
Location Address1100 BROADWAYRockford, IL 61104-1429
Mailing Address1200 W State StRockford, IL 61102-2112 · (815) 490-1616
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateMay 7, 20262 updates tracked since enumeration
NPPES CertifiedMay 7, 2026
✔ NPI 1871023341 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 IL · 209016072
1100 BROADWAY, Rockford, IL 61104

Secondary Practice Locations 2

Location 1398 Bellevue AveNewport, RI 02840-6955 · Phone (718) 506-1115
Location 217 Adelphi AveProvidence, RI 02906-4119 · Phone (718) 506-1115

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. Theresa Marie Sheahan Np 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 ID4082989330
PECOS Enrollment IDI20210810003128, I20230523002323
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

11

Medicare enrollment records show Theresa Sheahan reassigns Medicare billing to 11 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
2010 S ARLINGTON HEIGHTS RD STE 110
Arlington Heights, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
Internal Medicine
3450 OAKTON ST
Skokie, IL 60076
  • Reassigned Medicare billing, Illinois enrollment
  • 491 clinicians in this Medicare group
Nurse Practitioner
6700 ALEXANDER BELL DR STE 200
Columbia, MD 21046
  • Reassigned Medicare billing, Connecticut and Rhode Island enrollments
  • 135 clinicians in this Medicare group
Urgent Care
31 OLD ROUTE 7
Brookfield, CT 06804
  • Reassigned Medicare billing, Connecticut enrollment
  • 52 clinicians in this Medicare group
Geriatric Medicine
1266 E MAIN ST
Stamford, CT 06902
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Careconnectmd Connecticut P.C.
  • 168 clinicians in this Medicare group
Nurse Practitioner
240 INDIAN RIVER RD STE C7
Orange, CT 06477
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Impact Health PC
  • 129 clinicians in this Medicare group
Internal Medicine
114 WOODLAND ST, SAINT FRANCIS MEDICAL GROUP INC.
Hartford, CT 06105
  • Reassigned Medicare billing, Connecticut enrollment
  • 1,186 clinicians in this Medicare group
Counselor
111 WESTCOTT RD
Danielson, CT 06239
  • Reassigned Medicare billing, Connecticut enrollment
  • 390 clinicians in this Medicare group
Nurse Practitioner
100 CROSSING BLVD
Framingham, MA 01702
  • Reassigned Medicare billing, Rhode Island enrollment
  • 53 clinicians in this Medicare group
Geriatric Medicine
100 CROSSING BLVD STE 300
Framingham, MA 01702
  • Reassigned Medicare billing, Connecticut and Rhode Island enrollments
  • 142 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 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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,897 services753 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
178 services178 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
53 services50 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
52 services43 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
46 services46 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 7

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1100 BROADWAY
ROCKFORD, IL 61104
Advanced Practice Midwife
1100 BROADWAY
ROCKFORD, IL 61104
Nurse Practitioner (Pediatrics)
1100 BROADWAY
ROCKFORD, IL 61104
Clinical Medical Laboratory
1100 BROADWAY
ROCKFORD, IL 61104
Physician Assistant
1100 BROADWAY
ROCKFORD, IL 61104
Health Educator
1100 BROADWAY
ROCKFORD, IL 61104
Pharmacist
1100 BROADWAY
ROCKFORD, IL 61104

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 Theresa Sheahan's NPI number?

The NPI number for Theresa Sheahan is 1871023341. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Theresa Sheahan located?

Theresa Sheahan practices at 1100 Broadway, Rockford, IL 61104. The listed phone number is (815) 490-1600.

What is Theresa Sheahan's specialty?

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

Is Theresa Sheahan enrolled in Medicare?

Yes. Theresa Sheahan 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 Theresa Sheahan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Sheahan reassigns Medicare benefits to 11 organizations: Signature Medical Group, Inc (Arlington Heights, IL), Vitae Health Medical Illinois, PLLC (Skokie, IL), Healthdrive Medical Services Southeast LLC (Columbia, MD), Urgent Care Medical Associates, LLC (Brookfield, CT), Careconnectmd Connecticut PC (Stamford, CT) and 6 more organizations, listed in the Medicare section above. 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 Theresa Sheahan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Theresa Sheahan accept?

Health plans from Anthem Blue Cross and Blue Shield list Theresa Sheahan 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.

When was this NPI record last updated?

The NPPES record for Theresa Sheahan was last updated on May 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.