Individual provider Active NPI

Patrick Robert Shepard, DNP, APRN, FNP-BC

  • Family Nurse Practitioner
  • Falmouth, MA
National Provider Identifier
1225545254
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2380491 Issued in MA
Practice address
360 Gifford St
Falmouth, MA 02540-5119
Phone
(508) 457-4900
NPI assigned
Dec 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN2380491 MA
Physical Therapy Assistant 225200000X 041.0133878 VT
Family Nurse Practitioner 363LF0000X 2380491 MA Primary

Addresses

Primary practice location

360 Gifford St
Falmouth, MA 02540-5119

Mailing address

360 Gifford St
Falmouth, MA 02540-5119
Phone (508) 457-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240717002632 MA Practitioner - Nurse Practitioner 8729523469 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

360 Gifford St
Unit 2B
Falmouth, MA 02540-5119
Phone (508) 540-0200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN2380491MAMDRegistered Nurse
041.0133878VTMDPhysical Therapy Assistant
2380491MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Urgi Center Medical Group CurrentSince Apr 28, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 14, 2024 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince Jul 14, 2024 Accepting new patients

Locations

360 Gifford St
Unit 2B
Falmouth, MA 02540
Phone (508) 540-0200

360 Gifford St
Falmouth, MA 02540
Phone (508) 457-4900

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

297 North St
Ste 221
Hyannis, MA 02601
Phone (508) 862-5032

2 Jan Sebastian Dr
Sandwich, MA 02563
Phone (508) 833-8247

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

Organizations & group practices 3

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": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690156800000",
    "number": "1225545254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405119",
            "telephone_number": "508-457-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 GIFFORD ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025405119",
            "telephone_number": "508-457-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "PATRICK",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-29",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "RN2380491",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VT",
            "license": "041.0133878",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2380491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

Verify at the official NPI Registry.