Individual provider Active NPI

Jessica Shepley

  • Psychiatric/Mental Health Nurse Practitioner
  • West Palm Beach, FL
National Provider Identifier
1700400140
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
11007373 Issued in FL
Practice address
8895 N Military TRL Ste 306E
West Palm Beach, FL 33410-6263
Phone
(630) 319-0454
NPI assigned
Jun 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN9259282 FL
Family Nurse Practitioner 363LF0000X 11007373 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 11007373 FL Primary

Addresses

Primary practice location

8895 N Military TRL Ste 306E
West Palm Beach, FL 33410-6263

Mailing address

5089 Prairie Dunes Village Cir
Lake Worth, FL 33463-8215
Phone (630) 319-0454

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220301002875 FL Practitioner - Nurse Practitioner 4284028614 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mfe Psychiatry LLCGroup PAC ID 7315369352, 10 clinicians

Practice addresses (Care Compare)

8895 N Military Trail
West Palm Beach Garden, FL 33410-6263
Phone (561) 531-7818

8895 N Military TRL
Suite 306E
West Palm Beach, FL 33410-6263

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9259282FLMDRegistered Nurse
11007373FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mfe Psychiatry LLC CurrentSince Jan 1, 2022 Accepting new patients

Locations

8895 N Military Trl
Ste 300E
West Palm Beach, FL 33410
Phone (561) 472-0397

8895 N Military Trl
Ste 306E
West Palm Beach, FL 33410
Phone (561) 531-7817

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1700400140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5089 PRAIRIE DUNES VILLAGE CIR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334638215",
            "telephone_number": "630-319-0454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRL STE 306E",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334106263",
            "telephone_number": "630-319-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEPLEY",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9259282",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007373",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.