Marion L Shepherd, APRN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3007171 Issued in KY

Practice address

101 Town and Country LN Ste 100
Hazard, KY 41701-9524

Phone

(606) 433-1300

Fax

(606) 439-1400

NPI assigned

Feb 7, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Primary Care Centers of Eastern Kentucky LLCGroup PAC ID 3971415993, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hazard Arh Regional Medical Center Hospital, Hazard, KY, CCN 180029
• Harlan Arh Hospital Hospital, Harlan, KY, CCN 180050

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HCJFBA
• Direct secure messaging: mshepherd659175@adventhealth.direct-ci.com

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.

• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hyden, KY
  • NPI 1891841961
  Medicare reassignment Care Compare group NPD
• Memorial Hospital Inc.

  • Rural Health Clinic/Center
  • Manchester, KY
  • NPI 1255471827

  Family

  Medicare reassignment NPD
• Memorial Hospital, Inc.

  • Specialist
  • Manchester, KY
  • NPI 1831150119

  Family

  Medicare reassignment NPD
• South Central Physicians PLLC

  • Hospitalist Physician
  • Lubbock, TX
  • NPI 1427611854

  Family, KY

  Medicare reassignment NPD
• Memorial Hospital, Inc.

  • Multi-Specialty Clinic/Center
  • Manchester, KY
  • NPI 1033510961
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Scuddy, KY
  • NPI 1184676314
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hindman, KY
  • NPI 1356395198
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Whitesburg, KY
  • NPI 1366227555
  NPD
• Primary Care Centers of Eastern Kentucky, LLC

  • Rural Health Clinic/Center
  • Hazard, KY
  • NPI 1942275805
  NPD
• Pikeville Neurology Clinic & Diagnostic Center PSC

  • Neurology Physician
  • Pikeville, KY
  • NPI 1043530371
  NPD (past)
• Primary Care Centers of Eastern Kentucky, LLC

  • General Practice Dentistry
  • Hazard, KY
  • NPI 1598930026
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Harlan, KY
  • NPI 1306842521
  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • Multi-Specialty Clinic/Center
  • Hazard, KY
  • NPI 1558431346

  Hospital

  Care Compare affiliation
• Appalachian Regional Healthcare, Inc.

  • General Acute Care Hospital
  • Hazard, KY
  • NPI 1609869916
  Care Compare affiliation

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

{
    "created_epoch": "1328572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1548532401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1988",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417021988",
            "telephone_number": "606-435-7643",
            "fax_number": "606-436-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 TOWN AND COUNTRY LN STE 100",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019524",
            "telephone_number": "606-433-1300",
            "fax_number": "606-439-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "MARION",
        "middle_name": "L",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-07",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3007171",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3007171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100196890",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanna Couch Holliday
• Mukut Sharma, M.D.
• Valerie Shell
• Brenda Shepherd
• Kathy Shepherd
• Robert Jordan Shepherd, APRN, FNP-C
• Sheridan Radiology Services of Central FL, Inc.
• Kaitlyn E Shields, CRNA
• Marissa Eusebio Shih, A.P.R.N.
• Michael A Shilot, CRNA

• Nurse Practitioner in Hazard, KY
• Providers in Hazard, KY by specialty
• Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.

Verify at the official NPI Registry.