Active NPI
Benjamin J. Shepherd, APRN
- Nurse Practitioner
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1029904
- Practice address
- 515 W Main St Ste 110
Allen, TX 75013-8025 - Phone
- (469) 833-3774
- Fax
- (469) 202-0268
- NPI assigned
- Feb 11, 2021
- Last updated
- Sep 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1029904 | TX | Primary |
Addresses
Primary practice location
515 W Main St Ste 110
Allen, TX 75013-8025
Mailing address
515 W Main St Ste 110
Allen, TX 75013-8025
Phone (469) 833-3774
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
515 W Main St
Suite 110
Allen, TX 75013-8025
Phone (469) 833-3774
Ste
Suite 110
Allen, TX 75013-8025
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Texas Health Care, P.L.L.C. | Current | Accepting new patients | |
| Shepherd Family Healthcare, LLC | Current | Accepting new patients |
Locations
515 W Main St
Ste 110
Allen, TX 75013
Phone (469) 833-3774
6700 Buenos Aires Dr
North Richlnd Hls, TX 76180
Phone (817) 281-8245
920 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 339-8855
Interoperability endpoints
- benjamin.shepherd.p1@direct.thc.nextgenshare.com
Organizations & group practices 3
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.
-
- Family Nurse Practitioner
- Allen, TX
- NPI 1982467882
-
- Interventional Pain Medicine Physician
- Fort Worth, TX
- NPI 1477628873
-
- Family Medicine Physician
- Fort Worth, TX
- NPI 1821026352
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medical City McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1437102639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1437741311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 W MAIN ST STE 110",
"city": "ALLEN",
"state": "TX",
"postal_code": "750138025",
"telephone_number": "469-833-3774",
"fax_number": "469-202-0268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 W MAIN ST STE 110",
"city": "ALLEN",
"state": "TX",
"postal_code": "750138025",
"telephone_number": "469-833-3774",
"fax_number": "469-202-0268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "BENJAMIN",
"middle_name": "J.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-02-11",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1029904",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.