Kimberly Ann Shea, - Medicare Physician Assistant in Ellsworth Afb, SD

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Kimberly Ann Shea, is a medicare enrolled "Physician Assistant - Medical" in Ellsworth Afb, South Dakota. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Black Hills Surgical Hospital Llc and her current practice location is 2900 Doolittle Dr, Ellsworth Afb, South Dakota. You can reach out to her office (for appointments etc.) via phone at (605) 385-3111.

Kimberly Ann Shea is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1477264026.

Contact Information

Kimberly Ann Shea,
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821
(605) 385-3111
(605) 385-3620

Map and Direction




Provider's Profile

Full NameKimberly Ann Shea
GenderFemale
SpecialityPhysician Assistant
Experience4 Years
Location2900 Doolittle Dr, Ellsworth Afb, South Dakota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimberly Ann Shea graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1477264026
  • Provider Enumeration Date: 12/05/2022
  • Last Update Date: 12/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 4880183581
  • Enrollment ID: I20251031003197

Medical Identifiers

Medical identifiers for Kimberly Ann Shea such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477264026NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))Primary
171000000XMilitary Health Care Provider (* (Not Available))Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Black Hills Surgical Hospital Llc5496742835173

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kimberly Ann Shea allows following entities to bill medicare on her behalf.
Entity NameBlack Hills Surgical Hospital LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336009646
PECOS PAC ID: 5496742835
Enrollment ID: O20050616000485

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Ann Shea is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kimberly Ann Shea,
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (605) 385-3111		Kimberly Ann Shea,
2900 Doolittle Dr,
Ellsworth Afb, SD 57706-4821

Ph: (605) 385-3111

Reviews and Comments


Physician Assistant Nurses in Ellsworth Afb, SD

Mr. Michael David Palmer, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3132    
Audrey Mcreavy, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3354    
Blake T Greenfield, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3111    
Joshua R Paull, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-6700    
Jordan Hickman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-675-1000    
Shelton John Fraser, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 2900 Doolittle Dr, Ellsworth Afb, SD 57706
Phone: 605-385-3168    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.