Individual provider Active NPI

Marcus Sheppard, NP

  • Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1073271409
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61335610 Issued in WA
Practice address
720 8TH Ave S
Seattle, WA 98104-3032
Phone
(206) 788-3700
NPI assigned
Dec 2, 2021
Last updated
Feb 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP61335610 WA Primary

Addresses

Primary practice location

720 8TH Ave S
Seattle, WA 98104-3032

Mailing address

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742

Other practice location 1

1202 Martin Luther King Jr Way
Tacoma, WA 98405-3926
Phone (253) 441-4742

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20231206001890 WA Practitioner - Nurse Practitioner 5991154775 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiorenal Therapeutics of Washington, PLLCGroup PAC ID 7517379613, 5 clinicians

Practice addresses (Care Compare)

33530 1St Way S
Suite 44
Federal Way, WA 98003-7332
Phone (253) 414-6652

3815 S Othello St
FL 2
Seattle, WA 98118-3510
Phone (206) 788-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP61335610WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care CurrentSince Oct 25, 2023 Accepting new patients
International Community Health Services Nurse Practitioner Current Accepting new patients
Community Health Care CurrentSince Oct 25, 2023 Accepting new patients
International Community Health Services CurrentSince Jan 13, 2025 Accepting new patients
International Community Health Services CurrentSince Jan 13, 2025 Accepting new patients

Locations

3815 S Othello St
Fl 2
Seattle, WA 98118
Phone (206) 788-3500

720 8th Ave S
Seattle, WA 98104
Phone (206) 788-3757

134 188th St S
Spanaway, WA 98387
Phone (253) 847-2304

11225 Pacific Ave S
Tacoma, WA 98444
Phone (253) 536-2020

1148 Broadway
Ste 100
Tacoma, WA 98402
Phone (253) 441-4742

1202 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 441-4742

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/HEDCAA
  • Direct secure messaging: msheppard3654916@wm.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1638403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772064000000",
    "number": "1073271409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 MARTIN LUTHER KING JR WAY",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053926",
            "telephone_number": "253-441-4742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 8TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981043032",
            "telephone_number": "206-788-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 Martin Luther King Jr Way",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984053926",
            "country_code": "US",
            "telephone_number": "253-441-4742",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "MARCUS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-02",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP61335610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.