Active NPI
Annemarie Fernandes Shepherd, MD
- Radiation Oncology Physician
- Seattle, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD61586810
- Practice address
- 1959 NE Pacific St
Seattle, WA 98195-3444 - Phone
- (206) 520-5000
- NPI assigned
- May 17, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 25MA09669900 | NJ | |
| Radiation Oncology Physician | 2085R0001X | MD61586810 | WA | Primary |
Addresses
Primary practice location
1959 NE Pacific St
Seattle, WA 98195-3444
Mailing address
PO Box 50095
Seattle, WA 98145-5095
Phone (206) 520-5700
Other names 1
- Annemarie Therese Fernandes
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NY, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1959 NE Pacific St
Seattle, WA 98195-0001
Phone (206) 598-4333
Hospital & facility affiliations
- University of Washington Medical Ctr
- Fred Hutchinson Cancer Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.57 of 100
- Quality
- 72.31
- Improvement activities
- 40
- Cost
- 76.55
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.85 of 100
- Quality
- 74.6
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.85 of 100
- Quality
- 80.94
- Improvement activities
- 40
- Cost
- 65.19
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.37 of 100
- Quality
- 71.5
- Improvement activities
- 40
- Cost
- 70.5
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.79 of 100
- Quality
- 29.93
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.02 of 100
- Quality
- 93.67
- Improvement activities
- 40
- Cost
- 71.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09669900 | NJ | MD | Radiation Oncology Physician |
| MD61586810 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Radiation Oncology Group | Radiation Oncology | Current | Accepting new patients |
| MSK Bergen | Radiation Oncology | Current | Accepting new patients |
| Memorial Sloan Kettering Cancer Center at Basking Ridge New Jersey | Radiation Oncology | Current | Accepting new patients |
| The Association of University Physicians | Internal Medicine | Current | Accepting new patients |
| MSK Monmouth | Radiation Oncology | Current | Accepting new patients |
Locations
136 Mountainview Blvd
Basking Ridge, NJ 07920
Phone (908) 542-3000
480 Red Hill Rd
Middletown, NJ 07748
Phone (908) 542-3007
225 Summit Ave
Montvale, NJ 07645
Phone (908) 542-3336
103 Cedar Grove Ln
Somerset, NJ 08873
Phone (732) 357-2600
633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
1570 N 115th St
Seattle, WA 98133
Phone (206) 306-2800
1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ashepherd1688624@direct.ehre.uwmedicine.org
- annemarieshepherd@nypc.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Seattle, WA
- NPI 1023041159
Internal Medicine
-
- Radiation Oncology Physician
- New York, NY
- NPI 1235109224
-
- Medical Oncology Physician
- Basking Ridge, NJ
- NPI 1184637886
Radiation Oncology
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1164493847
-
- General Acute Care Hospital
- Seattle, WA
- NPI 1326002049
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1356669279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 50095",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981455095",
"telephone_number": "206-520-5700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1959 NE PACIFIC ST",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981953444",
"telephone_number": "206-520-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "ANNEMARIE",
"middle_name": "FERNANDES",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-17",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NJ",
"license": "25MA09669900",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD61586810",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNEMARIE",
"last_name": "FERNANDES",
"middle_name": "THERESE",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.