Individual provider Active NPI

Patricia Shepard, CNP

  • Primary Care Nurse Practitioner
  • Carlsbad, NM
National Provider Identifier
1386108546
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
55047 Issued in NM
Practice address
402 E Wood Ave
Carlsbad, NM 88220-6500
Phone
(575) 941-2500
Fax
(575) 941-2503
NPI assigned
Jan 22, 2019
Last updated
Dec 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 55047 NM Primary

Addresses

Primary practice location

402 E Wood Ave
Carlsbad, NM 88220-6500

Mailing address

402 E Wood Ave
Carlsbad, NM 88220-6500
Phone (575) 941-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20190219001572 NM Practitioner - Nurse Practitioner 6305184250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vanessa's Family ClinicGroup PAC ID 9133366982, 5 clinicians

Practice addresses (Care Compare)

402 E Wood Ave
Carlsbad, NM 88220-6500
Phone (575) 941-2500

72 Yarbro Rd
Loving, NM 88220

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa's Family Clinic CurrentSince Jan 23, 2019 Accepting new patients
Sparkman Behavioral Health, P. C. PastSince Dec 31, 2023 Accepting new patients

Locations

1031 N Thomas St
Carlsbad, NM 88220
Phone (575) 887-5542

1410 N 8th St
Ste B
Carlsbad, NM 88220
Phone (575) 885-2180

402 E Wood Ave
Carlsbad, NM 88220
Phone (575) 941-2500

Interoperability endpoints

  • Direct secure messaging: vanessasfamilyclinic.pattyshephard@129828.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 5

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": "1548115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1386108546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 E WOOD AVE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206500",
            "telephone_number": "575-941-2500",
            "fax_number": "575-941-2503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 E WOOD AVE",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882206500",
            "telephone_number": "575-941-2500",
            "fax_number": "575-941-2503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "PATRICIA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-22",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NM",
            "license": "55047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

Sources for this page

Verify at the official NPI Registry.