Kimberly Ann Shea
Kimberly Ann Shea is a Physician Assistant in Ellsworth AFB, South Dakota. Qualified in 2022, 4 years ago. Practices with Black Hills Surgical Hospital LLC, a 169-clinician group and accepts Medicare assignment.
- Years since qualifying
- 4
- In the registry since
- 2022
- Specialties on file
- 2
Practice location Address checks out
2900 Doolittle DrEllsworth AFB, SD 57706-4821
Phone: (605) 385-3111
Fax: (605) 385-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X |
|---|---|
| Military Health Care Provider | Taxonomy 171000000X |
Record details
| NPI number | 1477264026 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 5, 2022 |
| Last updated in NPPES | December 17, 2025 |
| Certification date | December 17, 2025 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2022 (4 years in practice) |
| Group practice | Black Hills Surgical Hospital Llc — 169 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |