Individual provider Active NPI

Cara M Shepherd, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Highlands Ranch, CO
National Provider Identifier
1467581165
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2140 Issued in CO
Practice address
206 W County Line Rd
Suite 340
Highlands Ranch, CO 80129-2318
Phone
(303) 888-6426
Fax
(303) 302-1659
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2140 CO Primary

Addresses

Primary practice location

206 W County Line Rd
Suite 340
Highlands Ranch, CO 80129-2318

Mailing address

206 W County Line Rd
Suite 340
Highlands Ranch, CO 80129-2318
Phone (303) 888-6426

Other identifiers 1

IdentifierTypeStateIssuer
1467581165OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20070604000571 CO Practitioner - Physician Assistant 3274631981 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alta Vista Dermatology, LLCGroup PAC ID 3971632464, 7 clinicians

Practice addresses (Care Compare)

206 W County Line Rd
Suite 340
Highlands Ranch, CO 80129-2321

Merit-based Incentive Payment System (MIPS)

Final score
80.84 of 100Reported as group
Quality
62.03
Improvement activities
40
Cost
86.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2140COMDClinical Social Worker

Interoperability endpoints

  • Direct secure messaging: jsorensen@directaddress.net
  • Direct secure messaging: meredithwilliams@directaddress.net
  • Direct secure messaging: cshepherd@directaddress.net

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1467581165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD",
            "address_2": "SUITE 340",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292318",
            "telephone_number": "303-888-6426",
            "fax_number": "303-302-1659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W COUNTY LINE RD",
            "address_2": "SUITE 340",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292318",
            "telephone_number": "303-888-6426",
            "fax_number": "303-302-1659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "CARA",
        "middle_name": "M",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "2140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1467581165",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highlands Ranch, CO

Sources for this page

Verify at the official NPI Registry.