Individual provider Active NPI

Janae Wilson Shepherd, RN, NP

  • Family Nurse Practitioner
  • Inglewood, CA
National Provider Identifier
1194254581
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030620 Issued in CA
Practice address
645 Aerick St Ste 2
Inglewood, CA 90301-4883
Phone
(424) 800-2046
NPI assigned
Jun 8, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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 95030620 CA Primary
Ambulatory Care Registered Nurse 163WP2201X 95055800 CA

Addresses

Primary practice location

645 Aerick St Ste 2
Inglewood, CA 90301-4883

Mailing address

645 Aerick St Ste 2
Inglewood, CA 90301-4883
Phone (424) 800-2046

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20251119003735 CA Practitioner - Nurse Practitioner 4183116981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

26500 Agoura Rd
Suite 102
Calabasas, CA 91302-3571

645 Aerick St
Suite 2
Inglewood, CA 90301-1976

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95055800CAMDAmbulatory Care Registered Nurse
95030620CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aericks Medical Clinic Inc Family CurrentSince Oct 1, 2025 Accepting new patients

Locations

645 Aerick St
Ste 2
Inglewood, CA 90301
Phone (310) 677-7108

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.

NPI Registry JSON

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

{
    "created_epoch": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1194254581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 AERICK ST STE 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014883",
            "telephone_number": "424-800-2046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "645 AERICK ST STE 2",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903014883",
            "telephone_number": "424-800-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON SHEPHERD",
        "first_name": "JANAE",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-08",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030620",
            "primary": true
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "CA",
            "license": "95055800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inglewood, CA

Sources for this page

Verify at the official NPI Registry.