Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shea Sullivan, PHYSICIANASSISTANT

Individual provider Family Medicine Physician · NPI 1942778246

Shea Sullivan, PHYSICIANASSISTANT is a Physician Assistant in Mesa, Arizona. Qualified in 2018, 8 years ago. Practices with Brown Road Family Medicine, PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
8
Licensed in
AZ
In the registry since
2018
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Practice location Address checks out

2310 E Brown Rd
Mesa, AZ 85213-5226
Phone: (480) 649-9000
Fax: (480) 248-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 7267 (AZ)

Record details

NPI number1942778246
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 5, 2018
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address2310 E Brown Rd, Mesa, AZ 85213-5226

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Brown Road Family Medicine, Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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