Brielle Sheppeard, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA217187 Issued in OR

Practice address

8385 Division Rd
White City, OR 97503

Phone

(541) 773-3863

Fax

(541) 826-5843

NPI assigned

Apr 3, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR, WA2 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

Specialty

Physician Assistant

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Klickitat County Public Hospital District No 1Group PAC ID 0648164269, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Home Care Home health agency, The Dalles, OR, CCN 387041
• Klickitat Valley Hospital Hospital, Goldendale, WA, CCN 501316

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Klickitat County Public Hospital District No 1

  • Clinic/Center
  • Goldendale, WA
  • NPI 1467530915
  Medicare reassignment Care Compare group
• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Medford, OR
  • NPI 1073511721
  Medicare reassignment NPD
• Rogue Community Health

  • Federally Qualified Health Center (FQHC)
  • Eagle Point, OR
  • NPI 1790059731
  NPD
• Klickitat County Public Hospital District No 1

  • Emergency Care Clinic/Center
  • Goldendale, WA
  • NPI 1780754507
  NPD
• Klickitat County Public Hospital District No 1

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  NPD (past)
• Klickitat County Public Hospital District No 1

  • Rural Health Clinic/Center
  • Goldendale, WA
  • NPI 1407952369
  NPD (past)

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

• Mid-Columbia Medical Center

  • Home Health Agency
  • The Dalles, OR
  • NPI 1205804101
  Care Compare affiliation
• Klickitat County Public Hospital District No 1

  • Critical Access Hospital
  • Goldendale, WA
  • NPI 1386689487
  Care Compare affiliation

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694736000000",
    "number": "1598460230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 DISK DR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975016638",
            "telephone_number": "541-773-3863",
            "fax_number": "541-826-5843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8385 DIVISION RD",
            "city": "WHITE CITY",
            "state": "OR",
            "postal_code": "97503",
            "telephone_number": "541-773-3863",
            "fax_number": "541-826-5843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPPEARD",
        "first_name": "BRIELLE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA217187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shilo Schalk, RN
• Alana Lucille Servis, CSWA
• Denise Patricia Seus, RDH
• Steven Henderson Shaw, MD
• Lyn Wayne Sheperd
• Takota Sicairos
• Sarah Sills
• Donna Reilley Simas, AU.D.
• Theodore Erik Simmons, PHARM.D.
• Sadie Anne Sims, LMT

• Physician Assistant in White City, OR
• Providers in White City, OR by specialty
• Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.