Individual provider Active NPI

Adam Lee Sheppard, CRNA

  • Certified Registered Nurse Anesthetist
  • Oklahoma City, OK
National Provider Identifier
1578896833
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
71103 Issued in OK
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

Updated by the provider on Aug 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20091130000623 OK Practitioner - Certified Registered Nurse Anesthetist (Crna) 2365581618 Reassigns benefits to 3 organizations

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
Anesthesia Medical Professionals PLLCGroup PAC ID 5991970279, 103 clinicians
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians

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

LicenseStateTypeSpecialty
71103OKMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Medical Professionals, PLLC CurrentSince Nov 13, 2021 Accepting new patients
Kyle Jones Aprn-Crna PC Nurse Anesthetist, Certified Registered CurrentSince Jan 28, 2020 Accepting new patients
Orthomed Staffing LLC CurrentSince Jul 25, 2023 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.

Hospital & facility affiliations 2

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

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.

Verify at the official NPI Registry.