Active NPI
Rebecca Ashley Shepherd
- Physician Assistant
- Stuart, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-15509
- Practice address
- 3801 S Kanner Hwy
Stuart, FL 34994-4801 - Phone
- (772) 221-2003
- Fax
- (772) 288-5835
- NPI assigned
- Feb 28, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-15509 | NC | Primary |
| Surgical Physician Assistant | 363AS0400X | 9117504 | FL | |
| Surgical Physician Assistant | 363AS0400X | MA066570 | PA |
Addresses
Primary practice location
3801 S Kanner Hwy
Stuart, FL 34994-4801
Mailing address
3801 S Kanner Hwy
Stuart, FL 34994-4801
Phone (772) 221-2003
Other practice location 1
179 N Reading Rd
Ephrata, PA 17522-1647
Phone (717) 738-0167
Other practice location 2
4420 Lake Boone Trl
Raleigh, NC 27607-7505
Phone (919) 784-2300
Other practice location 3
252 S 4th St Fl 2
Lebanon, PA 17042-6111
Phone (717) 270-3751
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rshepherd1322565@direct.UNC.nchie.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, NC, OH, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 SW Innovation Way
Port Saint Lucie, FL 34987-2111
Phone (772) 345-8100
1298 N Main St
Fuquay Varina, NC 27526-2615
Phone (919) 590-4099
200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 223-5665
2000 S Horner Blvd
Sanford, NC 27330-5818
Phone (919) 352-9538
285 E State St
Suite 260
Columbus, OH 43215-4322
Phone (614) 566-9035
3801 S Kanner Hwy
Suite 200
Stuart, FL 34994-4801
Phone (772) 288-5862
3801 S Kanner Hwy 1St Floor
Urgent Care Center
Stuart, FL 34994-4801
Phone (772) 223-2832
4420 Lake Boone TRL
Raleigh, NC 27607-7505
Hospital & facility affiliations
- Cleveland Clinic Martin North Hospital
- Rex Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.26 of 100
- Quality
- 80.2
- Promoting interoperability
- 99.24
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-15509 | NC | MD | Physician Assistant |
| 9117504 | FL | MD | Surgical Physician Assistant |
| MA066570 | PA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Physician Assistant | Current | Accepting new patients |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Ohiohealth Corporation | Current | Accepting new patients | |
| Rex Hospital Inc | Past | Accepting new patients |
Locations
3330 Waterman Way
Tavares, FL 32778
Phone (352) 385-3022
285 E State St
Ste 260
Columbus, OH 43215
Phone (614) 566-9035
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- rshepherd1322565@direct.unc.nchie.net
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.
-
- Family Medicine Physician
- Columbus, OH
- NPI 1578545273
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- Urgent Care Clinic/Center
- Fuquay Varina, NC
- NPI 1770135808
-
- Hospitalist Physician
- Raleigh, NC
- NPI 1215741640
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Physician Assistant
-
- Gastroenterology Physician
- York, PA
- NPI 1669770004
-
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
-
- Anesthesiology Physician
- Columbus, OH
- NPI 1407292105
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1972939643
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stuart, FL
- NPI 1194790055
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775174400000",
"number": "1407555345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349944801",
"telephone_number": "772-221-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 S KANNER HWY",
"city": "STUART",
"state": "FL",
"postal_code": "349944801",
"telephone_number": "772-221-2003",
"fax_number": "772-288-5835"
}
],
"practiceLocations": [
{
"address_1": "179 N Reading Rd",
"address_purpose": "LOCATION",
"city": "Ephrata",
"state": "PA",
"postal_code": "175221647",
"country_code": "US",
"telephone_number": "717-738-0167",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4420 Lake Boone Trl",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276077505",
"country_code": "US",
"telephone_number": "919-784-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "252 S 4th St Fl 2",
"address_purpose": "LOCATION",
"city": "Lebanon",
"state": "PA",
"postal_code": "170426111",
"country_code": "US",
"telephone_number": "717-270-3751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "REBECCA",
"middle_name": "ASHLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-28",
"last_updated": "2026-04-03",
"certification_date": "2026-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-15509",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "FL",
"license": "9117504",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "PA",
"license": "MA066570",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rshepherd1322565@direct.UNC.nchie.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "4420 Lake Boone Trl",
"city": "Raleigh",
"state": "NC",
"country_code": "US",
"postal_code": "276077505",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2026; 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.