Active NPI
Samantha Shepherd, FNP-C
- Family Nurse Practitioner
- Folsom, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95024760
- Practice address
- 1600 Creekside Dr Ste 2500
Folsom, CA 95630-3485 - Phone
- (916) 542-1458
- Fax
- (916) 936-0640
- NPI assigned
- Apr 4, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95024760 | CA | Primary |
Addresses
Primary practice location
1600 Creekside Dr Ste 2500
Folsom, CA 95630-3485
Mailing address
1600 Creekside Dr Ste 2500
Folsom, CA 95630-3485
Phone (916) 542-1458
Other names 1
- Miss Samantha Bachar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Pacific Medical College, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
275 Grass Valley Hwy
Auburn, CA 95603-4533
Phone (530) 885-0344
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sierra Pacific Surgical, Inc. | Current | Accepting new patients | |
| Sierra Medical Partnership | Current | Accepting new patients | |
| Sierra Medical Partnership | Current | Accepting new patients |
Locations
275 Grass Valley Hwy
Auburn, CA 95603
Phone (530) 885-0344
1600 Creekside Dr
Ste 2500
Folsom, CA 95630
Phone (916) 542-1458
1580 Creekside Dr
Ste 130
Folsom, CA 95630
Phone (916) 542-1458
1625 Creekside Dr
Ste 202
Folsom, CA 95630
Interoperability endpoints
- https://api.platform.athenahealth.com/13768/brand/1/csg/1/fhir/r4
- samantha.shepherd.1@21842.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.
-
- Surgery Physician
- Folsom, CA
- NPI 1568015808
-
- Surgery Physician
- El Dorado Hills, CA
- NPI 1801502679
-
- Surgery Physician
- Roseville, CA
- NPI 1861867855
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
-
- General Acute Care Hospital
- Roseville, CA
- NPI 1356390264
-
- General Acute Care Hospital
- Jackson, CA
- NPI 1447494323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706745600000",
"number": "1871298174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR STE 2500",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303485",
"telephone_number": "916-542-1458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CREEKSIDE DR STE 2500",
"city": "FOLSOM",
"state": "CA",
"postal_code": "956303485",
"telephone_number": "916-542-1458",
"fax_number": "916-936-0640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHEPHERD",
"first_name": "SAMANTHA",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-04",
"last_updated": "2024-02-01",
"certification_date": "2024-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95024760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "BACHAR",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Folsom, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.