SHEBA MCCANTS
NPI 1285367649
Physician Assistant in Madison, WI
NPI Status: Active since July 05, 2022
- Individual
- Female
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About SHEBA MCCANTS
This page provides the complete NPI Profile along with additional information for Sheba Mccants, a primary care provider established in Madison, Wisconsin with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1285367649 assigned on July 2022. The practitioner's primary taxonomy code is 363A00000X with license number 7463 (WI). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1285367649
- Provider Name
- SHEBA MCCANTS
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 202 S PARK ST MADISON, WI 53715
- Location Phone
- (608) 417-6667
- Mailing Address
- 7974 UW HEALTH CT MIDDLETON, WI 53562
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-05-2022
- Last Update Date
- 09-28-2023
- Code Navigator
A primary care provider (PCP) like Sheba Mccants sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 7463
- License State
- WI
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Pathway/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Preferred/Broad HSA (+ Incentives) - POS
- Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Bronze Priority/Lean HSA (+ Incentives) - HMO
- Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - POS
- Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) - HMO
- Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - POS
- Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) - HMO
- Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) - HMO
- HMO Bronze $0 Medical Deductible - HMO
- HMO Bronze 7500 - HMO
- HMO Catstrophic 9200 with 3 Free PCP Visits - HMO
- HMO Gold 1500 - HMO
- HMO Gold 2400 - HMO
- HMO HDHP Bronze 7200 - HMO
- HMO HDHP Silver 5400 - HMO
- HMO Silver 5000 - HMO
- HMO Silver 6600 - HMO
- POS Bronze 7500 - POS
- POS HDHP Bronze 6250 - POS
- POS Silver 5000 - POS
- Better Together HMO Bronze 6500 Ded/8000 MOOP - HMO
- Better Together HMO Bronze 7500 Ded/9200 MOOP - HMO
- Better Together HMO Bronze No Medical Ded/9200 MOOP - HMO
- Better Together HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Better Together HMO Gold 1500 Ded/7800 MOOP - HMO
- Better Together HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Better Together HMO Platinum 500 Ded/1500 MOOP with Vision - HMO
- Better Together HMO Platinum No Ded/2800 MOOP - HMO
- Better Together HMO Platinum No Ded/4300 MOOP - HMO
- Better Together HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Better Together HMO Silver 5000 Ded/8000 MOOP - HMO
- Better Together HMO Silver 5500 Ded/5500 MOOP HSA - HMO
- Partners HMO Bronze 5000 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7500 Ded/9200 MOOP - HMO
- Partners HMO Bronze 7900 Ded/7900 MOOP HSA - HMO
- Partners HMO Gold 1000 Ded/6000 MOOP with Vision - HMO
- Partners HMO Gold 1500 Ded/7800 MOOP - HMO
- Partners HMO Gold 2900 Ded/2900 MOOP HSA - HMO
- Partners HMO Silver 4100 Ded/7500 MOOP with Vision - HMO
- Partners HMO Silver 5000 Ded/8000 MOOP - HMO
- Robin Oak $1,000 Gold - PPO
- Robin Oak $1,500 Standard Gold - PPO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - HMO
- QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL - HMO
- QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Sheba Mccants is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 53715 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $82.92
- Minimum New Patient Price $53.9
- Maximum New Patient Price $163.24
- Average New Patient Copayment $20.73
- Minimum New Patient Copayment $13.47
- Maximum New Patient Copayment $40.81
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $67.37
- Minimum Established Patient Price $17.4
- Maximum Established Patient Price $133.76
- Average Established Patient Copayment $16.84
- Minimum Established Patient Copayment $4.35
- Maximum Established Patient Copayment $33.44
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for SHEBA MCCANTS
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 8 | 5 | 3 | 6 | 7 | 6 | 4 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 6 | 6 | 14 | 6 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 6 + 5 + 6 + 6 + 1 + 4 + 6 + 8 + 24 = 71 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 71 = 9 | 9 |
The NPI number 1285367649 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1720085764 | DR. STEVEN LAGMAN M.D. Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1194723338 | DR. JOHN STROHM M.D. Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1689673014 | DR. PETER ERIC QUALEY M.D. Individual | Anesthesiology | 202 S PARK ST 4-TOWER MADISON, WI 53715 (608) 267-6676 |
1144229204 | DANIEL SOLOMON MASLIAH MD Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1851391585 | JAMES GARNETT MD Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1811997554 | EUGENE C MILLER MD Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1215937875 | THOMAS M PELLINO MD Individual | Anesthesiology | 202 S PARK ST 4 TOWER MADISON, WI 53715 (608) 267-6676 |
1730189390 | GIRISH CHANDER KUMAR MD Individual | Anesthesiology | 202 S PARK ST 4 TOWER MADISON, WI 53715 (608) 267-6676 |
1013917509 | BARBARA ANN CAROPRESO MD Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1417957978 | ASTA MULHOLLAND MD Individual | Anesthesiology | 202 S PARK ST MADISON, WI 53715 (608) 267-6676 |
1295735371 | DR. LISA LOUISE REINKE MD, PHARM D, RPH Individual | Anesthesiology | 202 S PARK ST 4TH TOWER MADISON, WI 53715 (608) 267-6676 |
1285604306 | JOHN E. ZEINEMANN MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1972573095 | KAREN R. OAKES PA Individual | Physician Assistant | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1457331647 | ADAM C. HANSON MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1386624583 | SCOTT A. MESKIN MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1356321566 | BRIAN T. VEIT MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1790765998 | PAUL KILTON HICK MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1366413015 | THOMAS J. FERRELLA MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
1730151838 | MR. LOUIS STANLEY BRYSH DMD Individual | Dentist | 202 S PARK ST MADISON, WI 53715 (608) 267-6500 |
1275505059 | DAVID P. ATHAS MD Individual | Emergency Medicine | 202 S PARK ST MADISON, WI 53715 (608) 267-6000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285367649, enumerated in the NPI registry as an "individual" on July 05, 2022
The provider is located at 202 S Park St Madison, Wi 53715 and the phone number is (608) 417-6667
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Aspirus Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $82.92 with an average copayment of $20.73 for new patient appointments. Established patients should expect a typical charge of $67.37 and an average copayment of 16.84. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 05, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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