Active NPI
Shandra Shepard, NP-C
- Family Nurse Practitioner
- Rawlins, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29628.1440
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Merit-based Incentive Payment System (MIPS)
- Final score
- 33.71 of 100
- Quality
- 39.66
- Improvement activities
- 0
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1440 | WY | MD | General Practice Dentistry |
| 29628.1440 | WY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Wyoming Counseling Center | Current | Accepting new patients | |
| Wyoming Recovery Rawlins | Current | Accepting new patients | |
| Central Wyoming Counseling Center | Current | Accepting new patients | |
| S48Wy1, LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Casper, WY
- NPI 1730183617
WY
-
- Recovery Care Clinic/Center
- Casper, WY
- NPI 1861510281
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Rawlins, WY
- NPI 1528657590
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; 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.