Active NPI
Adam Lee Sheppard, CRNA
- Certified Registered Nurse Anesthetist
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 71103
- Practice address
- 8100 S Walker Ave
Oklahoma City, OK 73139-9475 - Phone
- (405) 602-6500
- NPI assigned
- Sep 17, 2009
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 71103 | OK | Primary |
Addresses
Primary practice location
8100 S Walker Ave
Oklahoma City, OK 73139-9475
Mailing address
508 Cherokee Gate Dr
Yukon, OK 73099-6153
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4801 Integris Pkwy
Edmond, OK 73034-8864
Phone (405) 713-4565
8100 S Walker Ave
BLDG C
Oklahoma City, OK 73139-9404
Phone (405) 602-6500
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71103 | OK | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medical Professionals, PLLC | Current | Accepting new patients | |
| Kyle Jones Aprn-Crna PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Orthomed Staffing LLC | Current | Accepting new patients | |
| Jackson County Memorial Hospital Authority | Past | Accepting new patients | |
| Canadian Valley Anesthesia Services | Past | Accepting new patients |
Locations
4801 Integris Pkwy
Edmond, OK 73034
Phone (405) 657-3000
419 W Gray St
Norman, OK 73069
Phone (405) 329-7300
1044 SW 44th St
Oklahoma City, OK 73109
Phone (405) 631-3085
8100 S Walker Ave
Bldg C
Oklahoma City, OK 73139
Phone (405) 602-6500
4401 S Western Ave
Oklahoma City, OK 73109
Phone (405) 636-7000
11200 N Portland Ave
Oklahoma City, OK 73120
Phone (405) 936-1000
5925 NW 139th St
Oklahoma City, OK 73142
Phone (405) 621-8800
2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453
1201 Health Center Pkwy
#I
Yukon, OK 73099
Phone (405) 717-6800
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Edmond, OK
- NPI 1962785931
-
- Certified Registered Nurse Anesthetist
- Midwest City, OK
- NPI 1992135628
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Yukon, OK
- NPI 1770541385
-
- General Acute Care Hospital
- Altus, OK
- NPI 1093763781
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1639170699
-
- General Acute Care Hospital
- Oklahoma City, OK
- NPI 1063489458
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253145600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1578896833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 CHEROKEE GATE DR",
"city": "YUKON",
"state": "OK",
"postal_code": "730996153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 S WALKER AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731399475",
"telephone_number": "405-602-6500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPPARD",
"first_name": "ADAM",
"middle_name": "LEE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-09-17",
"last_updated": "2022-08-19",
"certification_date": "2022-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OK",
"license": "71103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.