Individual provider Active NPI

Tammy Sue Shepherd, APRN-CNP

  • Family Nurse Practitioner
  • Kenton, OH
National Provider Identifier
1174083281
Registry record updated Mar 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018070343 Issued in OH
Practice address
34 Resch St
Kenton, OH 43326-2036
Phone
(419) 673-5640
NPI assigned
Mar 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2019

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 2018070343 OH Primary

Addresses

Primary practice location

34 Resch St
Kenton, OH 43326-2036

Mailing address

34 Resch St
Kenton, OH 43326-2036
Phone (419) 673-5640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20200320002506 OH Practitioner - Nurse Practitioner 2163856105 Reassigns benefits to 3 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
North Central Ohio Family Care Center IncGroup PAC ID 3274437082, 194 clinicians

Practice addresses (Care Compare)

24 E Whitney Ave
Shelby, OH 44875-1282
Phone (567) 247-0870

2981 W 4TH St
Ontario, OH 44906-1267
Phone (419) 468-0505

600 Richland Mall
Ontario, OH 44906-1246
Phone (419) 468-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.16 of 100Reported as group
Quality
79.15
Promoting interoperability
100
Improvement activities
40
Cost
74.72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018070343OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ohiohealth Urgent Care LLC CurrentSince Nov 1, 2020 Accepting new patients
Ohio Emergency Professionals Inc CurrentSince Dec 1, 2022 Accepting new patients
Meritra Physicians LLC Past Accepting new patients
Access Medical Group LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

629 N Sandusky Ave
Bucyrus, OH 44820
Phone (419) 562-4677

Dept L3652
Columbus, OH 43260

6905 Hospital Dr
Ste 130
Dublin, OH 43016
Phone (614) 923-0300

5450 Frantz Rd
Ste 360
Dublin, OH 43016
Phone (614) 533-6497

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

269 Portland Way S
Galion, OH 44833
Phone (419) 468-4841

2030 Stringtown Rd
Grove City, OH 43123
Phone (614) 566-0987

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: tshepherd2534943@direct.bsmhealth.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 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": "1553385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553385600000",
    "number": "1174083281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 RESCH ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262036",
            "telephone_number": "419-673-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 RESCH ST",
            "city": "KENTON",
            "state": "OH",
            "postal_code": "433262036",
            "telephone_number": "419-673-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "TAMMY",
        "middle_name": "SUE",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-24",
        "last_updated": "2019-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "2018070343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenton, OH

Sources for this page

Verify at the official NPI Registry.