Individual provider Active NPI

Devare Elise Shepard, APN

  • Family Nurse Practitioner
  • Oakhurst, NJ
National Provider Identifier
1104794049
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ15443400 Issued in NJ
Practice address
1900 Route 35 Ste 200
Oakhurst, NJ 07755-2758
Phone
(732) 807-0877
Fax
(201) 751-1680
NPI assigned
Oct 23, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ15443400 NJ Primary
Family Nurse Practitioner 363LF0000X 1811601768 NJ

Addresses

Primary practice location

1900 Route 35 Ste 200
Oakhurst, NJ 07755-2758

Mailing address

280 Highway 35 Ste 304
Red Bank, NJ 07701-5900
Phone (732) 338-8948

Other practice location 1

280 Highway 35 Ste 304
Red Bank, NJ 07701-5900
Phone (732) 338-8948

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20260616000271 NJ Practitioner - Nurse Practitioner 4587136114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hackensack Meridian Health Medical Group - Primary Care PCGroup PAC ID 7911003330, 364 clinicians

Practice addresses (Care Compare)

1900 Hwy 35
Suite 200
Oakhurst, NJ 07755-2758
Phone (732) 663-0900

Hospital & facility affiliations

  • Jersey Shore University Medical Center Hospital, Neptune, NJ, CCN 310073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1811601768NJMDFamily Nurse Practitioner
26NJ15443400NJMDFamily Nurse Practitioner

Organizations & group practices 1

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 3

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": "1761177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1104794049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 HIGHWAY 35 STE 304",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077015900",
            "telephone_number": "732-338-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ROUTE 35 STE 200",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "077552758",
            "telephone_number": "732-807-0877",
            "fax_number": "201-751-1680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Highway 35 Ste 304",
            "address_purpose": "LOCATION",
            "city": "Red Bank",
            "state": "NJ",
            "postal_code": "077015900",
            "country_code": "US",
            "telephone_number": "732-338-8948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "DEVARE",
        "middle_name": "ELISE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-23",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ15443400",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "1811601768",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

Verify at the official NPI Registry.