Individual provider Active NPI

Amber Nicole Shepard, FNP

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1104309129
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
24472 Issued in TN
Practice address
9957 Sherrill Blvd
Knoxville, TN 37932-3366
Phone
(865) 693-2255
Fax
(865) 691-7888
NPI assigned
Sep 14, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 24472 TN Primary

Addresses

Primary practice location

9957 Sherrill Blvd
Knoxville, TN 37932-3366

Mailing address

900 E Hill Ave Ste 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

Other practice location 1

125 Litton Covered Bridge Rd
Huntsville, TN 37756-3903
Phone (423) 663-8566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190211002268 TN Practitioner - Nurse Practitioner 3577801919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tennessee Cancer Specialists PLLCGroup PAC ID 1658358171, 69 clinicians

Practice addresses (Care Compare)

1031 W Madison Ave
Athens, TN 37303-3498
Phone (423) 745-6575

7650 Dannaher Dr
Suite 100
Powell, TN 37849-4052
Phone (865) 637-9330

900 E Hill Ave
Suite 230
Knoxville, TN 37915-2565
Phone (865) 862-0998

9957 Sherrill Blvd
Knoxville, TN 37932-3366
Phone (865) 693-2244

Merit-based Incentive Payment System (MIPS)

Final score
65.8 of 100Reported as group
Quality
92.22
Promoting interoperability
0
Improvement activities
40
Cost
68.61

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Health System, Inc CurrentSince Jan 1, 2020 Accepting new patients
Tennessee Cancer Specialist PLLC CurrentSince Jul 5, 2022 Accepting new patients
Tennessee Cancer Specialists PLLC CurrentSince Jul 5, 2022 Accepting new patients
University Health System, Inc Current Accepting new patients
University Health System Inc CurrentSince Jan 1, 2020 Accepting new patients

Locations

1031 W Madison Ave
Athens, TN 37303
Phone (423) 745-6575

2681 Andersonville Hwy
Ste 102
Clinton, TN 37716
Phone (865) 494-5960

9957 Sherrill Blvd
Knoxville, TN 37932
Phone (865) 639-2255

900 E Hill Ave
Ste 230
Knoxville, TN 37915
Phone (865) 862-0998

1415 Old Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 934-5806

6016 Brookvale Ln
Ste 200
Knoxville, TN 37919
Phone (865) 862-0998

9000 Executive Park Dr
Ste C200
Knoxville, TN 37923
Phone (865) 670-6142

1928 Alcoa Hwy
Ste B100
Knoxville, TN 37920
Phone (865) 305-6570

7650 Dannaher Dr
Ste 100
Powell, TN 37849
Phone (865) 637-9330

7551 Dannaher Dr
Powell, TN 37849
Phone (865) 637-9330

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1104309129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E HILL AVE STE 230",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379152565",
            "telephone_number": "865-862-0998",
            "fax_number": "865-544-1861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9957 SHERRILL BLVD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379323366",
            "telephone_number": "865-693-2255",
            "fax_number": "865-691-7888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Litton Covered Bridge Rd",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
            "state": "TN",
            "postal_code": "377563903",
            "country_code": "US",
            "telephone_number": "423-663-8566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "AMBER",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "24472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.