Individual provider Active NPI

William Stephen Sheppard, PA-C

  • Physician Assistant
  • Dover Foxcroft, ME
National Provider Identifier
1043244452
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA405 Issued in ME
Practice address
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone
(207) 564-8401
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA405 ME Primary

Addresses

Primary practice location

897 W Main St
Dover Foxcroft, ME 04426-1029

Mailing address

897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-8401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000110 ME Practitioner - Physician Assistant 3173689783 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drake University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katahdin Valley Health CenterGroup PAC ID 4880659903, 66 clinicians

Practice addresses (Care Compare)

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 538-3700

59 Bangor St
Houlton, ME 04730-1740
Phone (207) 528-2285

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Katahdin Valley Health Center CurrentSince Oct 13, 2025 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients
MRH Corp. CurrentSince Nov 13, 2021 Accepting new patients
Katahdin Valley Health Center CurrentSince Oct 13, 2025 Accepting new patients

Locations

891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

891 W Main St
Ste 500
Dovr Foxcroft, ME 04426
Phone (207) 564-4466

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

Interoperability endpoints

  • Direct secure messaging: william.sheppard.1@7377.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1043244452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 W MAIN ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261029",
            "telephone_number": "207-564-8401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ME",
            "license": "PA405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover Foxcroft, ME

Sources for this page

Verify at the official NPI Registry.