Active NPI
Chelsy Joy Sheppard, MSN, FNP, ARNP-C
- Nurse Practitioner
- Lewiston, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- AP61126663
- Practice address
- 1023 21St St
Lewiston, ID 83501-3415 - Phone
- (509) 758-9524
- Fax
- (833) 941-0875
- NPI assigned
- Dec 22, 2020
- Last updated
- Mar 4, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | AP61126663 | WA | Primary |
Addresses
Primary practice location
1023 21St St
Lewiston, ID 83501-3415
Mailing address
1023 21St St
Lewiston, ID 83501-3415
Phone (509) 758-9524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2400 NW Schold PL
Silverdale, WA 98383-9504
Phone (480) 631-4978
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP61126663 | WA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Larsen Gastroenterology, PLLC | Current | Accepting new patients | |
| St Joseph Hospital LLC | Current | Accepting new patients | |
| Jennifer Kaufman, Arnp, PLLC | Current | Accepting new patients | |
| Alante Primary Care W LLC | Current | Accepting new patients | |
| St. Joseph Hospital LLC | Past | Accepting new patients |
Locations
222 Southway Ave
Ste C
Lewiston, ID 83501
Phone (208) 746-1333
307 Saint Johns Way
Ste 1
Lewiston, ID 83501
Phone (208) 743-3998
307 Saint Johns Way
Ste 11
Lewiston, ID 83501
Phone (208) 743-7612
341 Saint Johns Way
Lewiston, ID 83501
Phone (208) 750-7462
415 6th St
Lewiston, ID 83501
Phone (208) 750-7445
821 21st Ave
Lewiston, ID 83501
Phone (208) 799-3422
625 6th St
Clarkston, WA 99403
Phone (509) 758-2200
2400 NW Schold Pl
Silverdale, WA 98383
Phone (480) 631-4978
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1205368404
-
- Clinic/Center
- Clarkston, WA
- NPI 1457778045
-
- Clinic/Center
- Clarkston, WA
- NPI 1174940282
-
dba St. Joseph Regional Medical Center
- General Acute Care Hospital
- Lewiston, ID
- NPI 1225090954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1608595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772582400000",
"number": "1568059681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1023 21ST ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835013415",
"telephone_number": "509-758-9524",
"fax_number": "833-941-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1023 21ST ST",
"city": "LEWISTON",
"state": "ID",
"postal_code": "835013415",
"telephone_number": "509-758-9524",
"fax_number": "833-941-0875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "CHELSY",
"middle_name": "JOY",
"name_prefix": "Mrs.",
"credential": "MSN, FNP, ARNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-12-22",
"last_updated": "2026-03-04",
"certification_date": "2026-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WA",
"license": "AP61126663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewiston, ID
- Serenity Treatment
- Serenity Treatment LLC
- Nina Sessions
- Seubert's Inc. (Seubert's Quality Home Care)
- Angie A. Shantie, LCSW
- Mark Wilson Sheppard, D.D.S.
- Shopko Stores Operating Co LLC (ShopKo Pharmacy 072)
- Shopko Stores Operating Co. LLC (ShopKo Optical 072)
- Shoptikal LLC (Shopko Optical 4072)
- Frank E Shull, MED LCPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.