Kelsey Sheppard, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1056685 Issued in TX

Practice address

3250 Fannin St
Beaumont, TX 77701-3903

Phone

(409) 212-7000

NPI assigned

Oct 27, 2021

Last updated

Dec 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Physician NetworkGroup PAC ID 0547333890, 121 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Baptist Physician Network

  • Specialist
  • Beaumont, TX
  • NPI 1558485532
  Medicare reassignment Care Compare group NPD
• Broussard Family Practice, PLLC

  • Specialist
  • Beaumont, TX
  • NPI 1710320908
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Hospitals of Southeast Texas

  dba Baptist Beaumont Hospital

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation

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

{
    "created_epoch": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640131200000",
    "number": "1225792179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 FANNIN ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777013903",
            "telephone_number": "409-212-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPARD",
        "first_name": "KELSEY",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1056685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur Donald Shaw, DDS
• Rodney D Shaw, PTA
• Kalen Shelfo
• Kylie Shelton, LVN
• Carl John Sheperis, LPC
• Elizabeth Haley Sher, FNP-C
• Kauser Shereen, D.D.S.
• Sherman MD Provider Inc
• Deborah C Sherman, MD
• Charles Richard Sherron, M.D.

• Psychiatric/Mental Health Nurse Practitioner in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.