Individual provider Active NPI

Chelsy Joy Sheppard, MSN, FNP, ARNP-C

  • Nurse Practitioner
  • Lewiston, ID
National Provider Identifier
1568059681
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP61126663 Issued in WA
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, ID2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210208002751 WA Practitioner - Nurse Practitioner 5092120808 Reassigns benefits to 2 organizations
I20211013001169 ID Practitioner - Nurse Practitioner 5092120808 Reassigns benefits to 1 organization

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
Alante Primary Care W LLCGroup PAC ID 7517487432, 4 clinicians

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

LicenseStateTypeSpecialty
AP61126663WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Larsen Gastroenterology, PLLC CurrentSince Dec 1, 2020 Accepting new patients
St Joseph Hospital LLC CurrentSince Aug 30, 2021 Accepting new patients
Jennifer Kaufman, Arnp, PLLC CurrentSince Jan 25, 2021 Accepting new patients
Alante Primary Care W LLC CurrentSince Apr 1, 2025 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.

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

Sources for this page

Verify at the official NPI Registry.