NPIMap

Individual provider Active NPI

Stephanie Anne Shepard, PA

  • Physician Assistant
  • Fairfax, VA
National Provider Identifier
1396705174
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110005117 Issued in VA
Practice address
8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531
Phone
(703) 776-2000
Fax
(571) 665-6797
NPI assigned
Mar 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18335 CA
Medical Physician Assistant 363AM0700X 0010-01115 NC
Physician Assistant 363A00000X 0110005117 VA Primary

Addresses

Primary practice location

8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531

Mailing address

PO Box 37174
Baltimore, MD 21297-3174
Phone (571) 423-5699

Other practice location 1

2700 Prosperity Ave Ste 270
Fairfax, VA 22031-4321
Phone (703) 698-2431

Other names 1

  • Stephanie Anne Shepard Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sshepard654634@soc.inova.org Health Information Exchange (HIE) Inova Health Care Services

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100603000696 DC Practitioner - Physician Assistant 0749290435 Reassigns benefits to 2 organizations
I20151230000918 MD Practitioner - Physician Assistant 0749290435 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Hollywood, MD 20636
Phone (240) 587-7275

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Chesapeake - Potomac Home Health Agency, Inc. Home health agency, Hughesville, MD, CCN 217138
  • Homecall Home health agency, Easton, MD, CCN 217066
  • Hospice of the Chesapeake, Inc. Hospice, Prince Frederick, MD, CCN 211521
  • Hospice of the Chesapeake, Inc. Hospice, Waldorf, MD, CCN 211519
  • Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18335CAMDPhysician Assistant
0010-01115NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Nov 10, 2019 Accepting new patients
House Calls of the District of Columbia Inc CurrentSince Apr 18, 2018 Accepting new patients
Inova Health Care Services CurrentSince Nov 10, 2019 Accepting new patients
Aaa Warmcare of Potomac, Inc Past Accepting new patients
Onslow Pediatric Associates, P.a. Past Accepting new patients
First Medicine Clinical Associates Inc. PastSince May 1, 2017 Accepting new patients
Inova Health Care Services PastSince Nov 1, 2019 Accepting new patients
Capital House Calls, LLC Past Accepting new patients

Locations

111 Michigan Ave NW
Washington, DC 20010
Phone (202) 476-3670

4560 Crain Hwy
Ste 10
White Plains, MD 20695
Phone (202) 683-4340

8260 Willow Oaks Corporate Dr
Ste 650
Fairfax, VA 22031
Phone (703) 776-2000

2700 Prosperity Ave
Ste 270
Fairfax, VA 22031
Phone (703) 698-2431

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

Interoperability endpoints

  • Direct secure messaging: stephanie.shepardpa.p2@direct.msmg.nextgenshare.com

Organizations & group practices 9

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 6

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1396705174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37174",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212973174",
            "telephone_number": "571-423-5699",
            "fax_number": "571-423-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8260 WILLOW OAKS CORPORATE DR STE 650",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314531",
            "telephone_number": "703-776-2000",
            "fax_number": "571-665-6797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2700 Prosperity Ave Ste 270",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314321",
            "country_code": "US",
            "telephone_number": "703-698-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "STEPHANIE",
        "middle_name": "ANNE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-24",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18335",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01115",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110005117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sshepard654634@soc.inova.org",
            "affiliation": "Y",
            "endpointDescription": "Health Information Exchange",
            "affiliationName": "Inova Health Care Services",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "2700 Prosperity Ave Ste 270",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220314321",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "SHEPARD",
            "middle_name": "ANNE",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.