Kelsey Sheffer, - Medicare Nurse Practitioner in Hiram, GA

Kelsey Sheffer, is a medicare enrolled "Nurse Practitioner - Pediatrics" in Hiram, Georgia. Her current practice location is 2518 Jimmy Lee Smith Pkwy, Hiram, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 938-9772.

Kelsey Sheffer is licensed to practice in Georgia (license number RN240385) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124729561.

Contact Information

Kelsey Sheffer,
2518 Jimmy Lee Smith Pkwy,
Hiram, GA 30141-2068
(770) 938-9772
Not Available

Map and Direction




Provider's Profile

Full NameKelsey Sheffer
GenderFemale
SpecialityNurse Practitioner - Pediatrics
Location2518 Jimmy Lee Smith Pkwy, Hiram, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124729561
  • Provider Enumeration Date: 03/13/2023
  • Last Update Date: 03/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6507231115
  • Enrollment ID: I20230413001163

Medical Identifiers

Medical identifiers for Kelsey Sheffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124729561NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0200XNurse Practitioner - Pediatrics RN240385 (Georgia)Primary
363L00000XNurse Practitioner RN240385 (Georgia)Secondary

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. Kelsey Sheffer allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050411000056

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. Kelsey Sheffer 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
Kelsey Sheffer,
1145 Ivey Brook Dr,
Bethlehem, GA 30620-4735

Ph: (770) 601-1122
Kelsey Sheffer,
2518 Jimmy Lee Smith Pkwy,
Hiram, GA 30141-2068

Ph: (770) 938-9772

Reviews and Comments


Nurse Practitioner Nurses in Hiram, GA

Mrs. Sara Hunlock Temple, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 51 Hiram Dr, Hiram, GA 30141
Phone: 678-945-8300    Fax: 770-445-2060
Aubree Lauren Tant, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 176 Charles Hardy Pkwy Unit C, Hiram, GA 30141
Phone: 678-945-8200    Fax: 678-945-8209
Mrs. Lucille Travis, NP
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 4095 Atlanta Hwy, Hiram, GA 30141
Phone: 404-488-9521    Fax: 404-836-8030
Matthew Lee Estes, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 148 Bill Carruth Pkwy Ste 220, Hiram, GA 30141
Phone: 770-505-0023    Fax: 770-505-9003
Joy Horton,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 136 Prince Ct, Hiram, GA 30141
Phone: 770-815-7357    
Mrs. Donna Van Bladel Wall, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 144 Bill Carruth Pkwy Ste 3100, Hiram, GA 30141
Phone: 678-363-1940    Fax: 678-581-7110

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.