Individual provider Active NPI

Shandra Shepard, NP-C

  • Family Nurse Practitioner
  • Rawlins, WY
National Provider Identifier
1699145698
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29628.1440 Issued in WY
Practice address
215 W Buffalo St
Rawlins, WY 82301-5659
Phone
(307) 320-3203
Fax
(307) 328-1438
NPI assigned
Oct 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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 29628.1440 WY Primary

Addresses

Primary practice location

215 W Buffalo St
Rawlins, WY 82301-5659

Mailing address

PO Box 208
Rawlins, WY 82301-0208
Phone (307) 320-3203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY
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
I20180821002302 WY Practitioner - Nurse Practitioner 3274821681 Reassigns benefits to 2 organizations
Practice locations: Rawlins, WY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

215 W Buffalo St
Rawlins, WY 82301-5659
Phone (307) 320-3203

Hospital & facility affiliations

  • Memorial Hospital of Carbon County Hospital, Rawlins, WY, CCN 531316

Merit-based Incentive Payment System (MIPS)

Final score
33.71 of 100Reported as group
Quality
39.66
Improvement activities
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1440WYMDGeneral Practice Dentistry
29628.1440WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Wyoming Counseling Center CurrentSince Apr 1, 2022 Accepting new patients
Wyoming Recovery Rawlins CurrentSince Dec 21, 2020 Accepting new patients
Central Wyoming Counseling Center Current Accepting new patients
S48Wy1, LLC CurrentSince Dec 21, 2020 Accepting new patients

Locations

231 S Wilson St
Casper, WY 82601
Phone (307) 265-3791

1430 Wilkins Cir
Casper, WY 82601
Phone (307) 237-9583

606 23rd St
Rawlins, WY 82301
Phone (307) 324-6002

Organizations & group practices 4

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 1

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": "1443744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1699145698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 208",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823010208",
            "telephone_number": "307-320-3203",
            "fax_number": "307-328-1438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W BUFFALO ST",
            "city": "RAWLINS",
            "state": "WY",
            "postal_code": "823015659",
            "telephone_number": "307-320-3203",
            "fax_number": "307-328-1438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPARD",
        "first_name": "SHANDRA",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-02",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "29628.1440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rawlins, WY

Sources for this page

Verify at the official NPI Registry.