Active NPI
Sandra Lauren Shepherd, MD
- Family Medicine Physician
- Missoula, MT
National Provider Identifier
1720171994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 11067
- Practice address
- 2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403 - Phone
- (406) 541-9222
- Fax
- (406) 541-9223
- NPI assigned
- Oct 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 11067 | MT | |
| Family Medicine Physician | 207Q00000X | 11067 | MT | Primary |
Addresses
Primary practice location
2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403
Mailing address
2825 Fort Missoula Rd Ste 115
Missoula, MT 59804-7403
Phone (406) 541-9222
Other practice location 1
2835 Fort Missoula Rd
Ste 201 Mountain View Family Medical and Obstetrics
Missoula, MT 59804
Phone (406) 327-3920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Washington School of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2825 Fort Missoula Rd
Suite 115
Missoula, MT 59804-7403
Phone (406) 541-9222
Hospital & facility affiliations
- Partners in Home Care Inc
- Community Medical Center
- St. Patrick Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 21 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11067 | MT | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Generations Family Medicine and Obstetrics | Family Medicine | Current | Accepting new patients |
| RCHP Billings - Missoula LLC | Past | Accepting new patients |
Locations
2825 Fort Missoula Rd
Ste 115
Missoula, MT 59804
Phone (406) 541-9222
1200 S Reserve St
Ste H
Missoula, MT 59801
Phone (406) 543-9200
Interoperability endpoints
- generationsfamilymedicine.sandrashepherd@139010.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Missoula, MT
- NPI 1306379037
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Missoula, MT
- NPI 1629135447
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1023032588
-
- Anatomic Pathology & Clinical Pathology Physician
- Missoula, MT
- NPI 1366185928
Hospital
-
- Psychiatric Hospital Unit
- Missoula, MT
- NPI 1619058302
-
- General Acute Care Hospital
- Missoula, MT
- NPI 1346642899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1720171994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2825 FORT MISSOULA RD STE 115",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047403",
"telephone_number": "406-541-9222",
"fax_number": "406-541-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2825 FORT MISSOULA RD STE 115",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598047403",
"telephone_number": "406-541-9222",
"fax_number": "406-541-9223"
}
],
"practiceLocations": [
{
"address_1": "2835 Fort Missoula Rd",
"address_2": "Ste 201 Mountain View Family Medical and Obstetrics",
"address_purpose": "LOCATION",
"city": "Missoula",
"state": "MT",
"postal_code": "59804",
"country_code": "US",
"telephone_number": "406-327-3920",
"fax_number": "406-327-3921",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEPHERD",
"first_name": "SANDRA",
"middle_name": "LAUREN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-02",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MT",
"license": "11067",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MT",
"license": "11067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.