Active NPI 1558355701 Individual Practitioner Female Practitioner

Karen A Shea , NP

Nurse Practitioner • Randolph, MA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Karen Shea, NP is a certified Nurse Practitioner practicing in Randolph, MA. With approximately 25 years of clinical experience since completing medical education in 2001, Karen Shea delivers high-quality medical care to the local community at 32 S MAIN ST.

Karen Shea is affiliated with Medical Care Of Boston Management Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, advance care planning, first, subsequent nursing facility care with high level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

32 S Main St
Suite 100

Randolph, MA 023684835

Telephone 7819868039

Fax 7819631753

Associated Practice Facility / Clinic

🏢 Community Physicians Associates, Inc. Facility NPI 1538154869

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Randolph, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +10.8 yrs vs City Avg

City Avg: 14.2 Yrs

State Avg: 12.5 Yrs

Regional Practice Density

8 Specialists

Practicing in Randolph, MA (3545 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shea (25 Years) 25 Yrs

Randolph Specialty Average (14.2 Years) 14.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	916	151	$329.78	$97.10
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	284	78	$330.11	$97.54
99497 Advance care planning, first 30 minutes	37	34	$255.46	$67.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	26	$474.27	$138.02
99315 Nursing facility discharge day management, 30 minutes or less	14	14	$251.00	$73.41
99497 Advance care planning, first 30 minutes	12	11	$260.67	$74.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	844	136	$301.98	$97.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	312	72	$299.99	$97.69
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	136	75	$416.18	$138.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	43	20	$221.47	$66.70
99497 Advance care planning, first 30 minutes	36	32	$215.42	$68.32
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	20	17	$400.00	$139.99
99315 Nursing facility discharge day management, 30 minutes or less	18	18	$186.00	$70.30
G0317 Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualifi	13	12	$70.00	$27.55
99316 Nursing facility discharge management, more than 30 minutes	11	11	$249.00	$119.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,155	201	$290.00	$83.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	322	71	$290.00	$83.74
99316 Nursing facility discharge management, more than 30 minutes	81	79	$249.00	$95.00
99497 Advance care planning, first 30 minutes	52	48	$180.00	$70.79
99318 Nursing facility annual assessment, typically 30 minutes	15	15	$180.00	$87.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,326	202	$290.00	$85.08
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	302	74	$290.00	$85.79
99316 Nursing facility discharge management, more than 30 minutes	78	76	$249.00	$98.36
99497 Advance care planning, first 30 minutes	30	29	$180.00	$73.09
99497 Advance care planning, first 30 minutes	15	14	$180.00	$80.69
99318 Nursing facility annual assessment, typically 30 minutes	15	15	$180.00	$89.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,257	237	$290.00	$85.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	274	106	$290.00	$85.52
99316 Nursing facility discharge management, more than 30 minutes	77	76	$249.00	$96.59
99318 Nursing facility annual assessment, typically 30 minutes	14	14	$180.00	$90.22
99497 Advance care planning, first 30 minutes	11	11	$180.00	$73.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,245	235	$290.00	$84.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	329	116	$290.00	$84.63
99316 Nursing facility discharge management, more than 30 minutes	119	109	$249.00	$97.09
99497 Advance care planning, first 30 minutes	39	39	$180.00	$72.29
99318 Nursing facility annual assessment, typically 30 minutes	22	22	$180.00	$88.37
99316 Nursing facility discharge management, more than 30 minutes	20	20	$249.00	$97.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	997	276	$290.00	$84.45
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	382	166	$290.00	$84.07
99316 Nursing facility discharge management, more than 30 minutes	137	127	$249.00	$96.73
99497 Advance care planning, first 30 minutes	59	58	$180.00	$72.53
99497 Advance care planning, first 30 minutes	28	28	$180.00	$77.44
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$180.00	$87.26
99316 Nursing facility discharge management, more than 30 minutes	26	25	$249.00	$97.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	959	293	$290.00	$81.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	469	179	$290.00	$81.52
99316 Nursing facility discharge management, more than 30 minutes	140	129	$249.00	$93.71
99497 Advance care planning, first 30 minutes	62	56	$180.00	$72.43
99497 Advance care planning, first 30 minutes	60	58	$180.00	$68.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	44	31	$220.00	$61.80
99318 Nursing facility annual assessment, typically 30 minutes	25	25	$180.00	$84.52
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	22	$220.00	$62.29
99316 Nursing facility discharge management, more than 30 minutes	17	17	$249.00	$94.50

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License MA 205951

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0357201 (MA)

Hospital & Practice Group Affiliations

Medical Care Of Boston Management Corporation

93 Pond St, Sharon, MA 020672015

Phone: 7817849212

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Amanda Tobias , PA-C

Physician Assistant

NPI 1700537776

Physician Assistant (Certified)

Dr. Maria Rodrigues , MD

Internal Medicine

NPI 1750350708

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 21, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location April 21, 2011

Registered at 32 S MAIN ST, SUITE 100, RANDOLPH, MA 023684835 (Tel: 7819868039)

📍

Updated Business Mailing Address April 21, 2011

Registered at 32 S MAIN ST, SUITE 100, RANDOLPH, MA 023684835 (Tel: 7819868039)

👤

Provider Name / Credentials Updated April 21, 2011

Recorded as KAREN SHEA, NP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2011

Nurse Practitioner (License #205951 in MA)

🟢

Initial NPI Registration & Enumeration September 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558355701

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 02, 2005

Last Update: April 21, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

32 S Main St, Suite 100

Randolph, MA 023684835

Phone: 7819868039

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.