Individual provider Active NPI

Amy Marie Shepherd, DNP

  • Family Nurse Practitioner
  • Shelby, NC
National Provider Identifier
1609643279
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5019218 Issued in NC
Practice address
113 E Grover St
Shelby, NC 28150-3803
Phone
(704) 487-5228
NPI assigned
Dec 5, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5019218 NC Primary

Addresses

Primary practice location

113 E Grover St
Shelby, NC 28150-3803

Mailing address

250 Randall Rd
Shelby, NC 28152-8726

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231218004299 NC Practitioner - Nurse Practitioner 0648620534 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5019218NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hopscotch Primary Care, PLLC CurrentSince Dec 5, 2023 Accepting new patients
Raleigh Durham Medical Group PA Past Accepting new patients
Hopscotch Primary Care Group, PA Past Accepting new patients

Locations

6 Brooklet St
Asheville, NC 28801
Phone (828) 250-0898

113 E Grover St
Shelby, NC 28150
Phone (704) 487-5228

Interoperability endpoints

  • Direct secure messaging: amy.shepherd.1@26812.direct.athenahealth.com

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hopscotch Primary Care PLLC 47 clinicians

Practice addresses (Care Compare)

113 E Grover St
Shelby, NC 28150-3803
Phone (828) 487-5228

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Shelby, NC, CCN 347317
  • Atrium Health Cleveland Hospital, Shelby, NC, CCN 340021

NPI Registry JSON

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

{
    "created_epoch": "1701734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1609643279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RANDALL RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281528726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E GROVER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503803",
            "telephone_number": "704-487-5228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPHERD",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-05",
        "last_updated": "2023-12-05",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5019218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.