Individual provider Active NPI

Stephanie E Shepard, MD

  • Psychiatry Physician
  • Columbia, MO
National Provider Identifier
1245670744
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015018629 Issued in MO
Practice address
3401 Berrywood Dr
Columbia, MO 65201-8372
Phone
(573) 777-8330
Fax
(573) 777-8390
NPI assigned
Jun 28, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2013018529 MO
Psychiatry Physician 2084P0800X 2015018629 MO Primary

Addresses

Primary practice location

3401 Berrywood Dr
Columbia, MO 65201-8372

Mailing address

2885 W Battlefield St
Springfield, MO 65807-3952
Phone (417) 761-5000

Other practice location 1

301 W Martin St
Cairo, MO 65239-1006
Phone (573) 603-1460

Other practice location 2

4600 McMasters Ave
Hannibal, MO 63401-2244
Phone (573) 603-1460

Other practice location 3

800 S Park Ave
Springfield, MO 65802-4855
Phone (417) 893-7735

Other practice location 4

900 E Laharpe St
Kirksville, MO 63501-4520
Phone (660) 665-1962

Other practice location 5

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 777-7500

Other practice location 6

17421 Medical Center Pkwy
Independence, MO 64057-1805
Phone (816) 455-9975

Other practice location 7

201 W 3rd St
Sedalia, MO 65301-4352
Phone (660) 827-2494

Other practice location 8

210 W Williams St
Unit C
Moberly, MO 65270
Phone (660) 263-7651

Other practice location 9

725 Cleveland St
Paris, MO 65275-1119
Phone (573) 603-1460

Other practice location 10

4066 Dunnica Ave
Saint Louis, MO 63116-3510
Phone (636) 224-1700

Other practice location 11

141 Communication Dr
Hannibal, MO 63401-3670
Phone (573) 603-1460

Other practice location 12

1 Healthcare Pl
Bowling Green, MO 63334-3602
Phone (573) 603-1460

Other practice location 13

1625 Gratz Brown St
Moberly, MO 65270-1994
Phone (573) 603-1460

Other practice location 14

400 Salisbury St
Montgomery City, MO 63361-1232
Phone (636) 224-1210

Other practice location 15

1805 E Walnut St
Columbia, MO 65201-6425
Phone (573) 603-1460

Other identifiers 1

IdentifierTypeStateIssuer
200028105MedicaidMO

Other names 1

  • Dr. Stephanie E Irwin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000798 MO Practitioner - Psychiatry 3375778301 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2013018529MOMDPsychiatry Physician
2015018629MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Burrell, Inc. CurrentSince Jun 4, 2018 Accepting new patients
SSM Health Care St. Louis CurrentSince Sep 30, 2016 Accepting new patients
Preferred Family Healthcare, Inc. CurrentSince Nov 21, 2025 Accepting new patients
Burrell, Inc. CurrentSince Jun 4, 2018 Accepting new patients
Preferred Family Healthcare, Inc CurrentSince Nov 21, 2025 Accepting new patients
SSM Health Care St Louis CurrentSince Sep 30, 2016 Accepting new patients

Locations

7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189

1 Healthcare Pl
Bowling Green, MO 63334
Phone (573) 324-2111

301 W Martin St
Cairo, MO 65239
Phone (660) 263-2788

1805 E Walnut St
Columbia, MO 65201
Phone (573) 777-7500

3401 Berrywood Dr
Columbia, MO 65201
Phone (573) 777-7530

3401 Berrywood Dr
Ste 300
Columbia, MO 65201
Phone (573) 777-8330

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

4600 McMasters Ave
Hannibal, MO 63401

141 Communication Dr
Hannibal, MO 63401
Phone (573) 795-7342

17844 E 23rd St S
Independence, MO 64057
Phone (816) 257-9716

17421 Medical Center Pkwy
Independence, MO 64057
Phone (816) 356-2000

17886 E 23rd St S
Independence, MO 64057
Phone (816) 836-6705

900 E Laharpe St
Kirksville, MO 63501

1625 Gratz Brown St
Moberly, MO 65270

400 Salisbury St
Montgomery City, MO 63361
Phone (573) 564-2495

725 Cleveland St
Paris, MO 65275

4066 Dunnica Ave
Saint Louis, MO 63116
Phone (314) 361-1630

201 W 3rd St
Sedalia, MO 65301
Phone (660) 827-2494

800 S Park Ave
Springfield, MO 65802
Phone (417) 893-7700

2885 W Battlefield St
Springfield, MO 65807
Phone (417) 761-5214

1300 E Bradford Pkwy
#H
Springfield, MO 65804

1300 E Bradford Pkwy
Springfield, MO 65804
Phone (417) 269-5400

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.

NPI Registry JSON

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

{
    "created_epoch": "1372377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1245670744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2885 W BATTLEFIELD ST",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658073952",
            "telephone_number": "417-761-5000",
            "fax_number": "417-761-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 BERRYWOOD DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652018372",
            "telephone_number": "573-777-8330",
            "fax_number": "573-777-8390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 W Martin St",
            "address_purpose": "LOCATION",
            "city": "Cairo",
            "state": "MO",
            "postal_code": "652391006",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 McMasters Ave",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634012244",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Park Ave",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MO",
            "postal_code": "658024855",
            "country_code": "US",
            "telephone_number": "417-893-7735",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 E Laharpe St",
            "address_purpose": "LOCATION",
            "city": "Kirksville",
            "state": "MO",
            "postal_code": "635014520",
            "country_code": "US",
            "telephone_number": "660-665-1962",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-777-7500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17421 Medical Center Pkwy",
            "address_purpose": "LOCATION",
            "city": "Independence",
            "state": "MO",
            "postal_code": "640571805",
            "country_code": "US",
            "telephone_number": "816-455-9975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Sedalia",
            "state": "MO",
            "postal_code": "653014352",
            "country_code": "US",
            "telephone_number": "660-827-2494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 W Williams St",
            "address_2": "Unit C",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "65270",
            "country_code": "US",
            "telephone_number": "660-263-7651",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "MO",
            "postal_code": "652751119",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4066 Dunnica Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631163510",
            "country_code": "US",
            "telephone_number": "636-224-1700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Communication Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634013670",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Healthcare Pl",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "MO",
            "postal_code": "633343602",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Gratz Brown St",
            "address_purpose": "LOCATION",
            "city": "Moberly",
            "state": "MO",
            "postal_code": "652701994",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Montgomery City",
            "state": "MO",
            "postal_code": "633611232",
            "country_code": "US",
            "telephone_number": "636-224-1210",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1805 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016425",
            "country_code": "US",
            "telephone_number": "573-603-1460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "STEPHANIE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-28",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2013018529",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2015018629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200028105",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "IRWIN",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.