Individual provider Active NPI

Samantha Shepherd, FNP-C

  • Family Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1871298174
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024760 Issued in CA
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

Updated by the provider on Feb 1, 2024

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 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 Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102002990 CA Practitioner - Nurse Practitioner 6507223963 Reassigns benefits to 1 organization

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
Sierra Medical PartnershipGroup PAC ID 7810321858, 18 clinicians

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

OrganizationSpecialtyStatusNew patients
Sierra Pacific Surgical, Inc. Current Accepting new patients
Sierra Medical Partnership CurrentSince Sep 5, 2023 Accepting new patients
Sierra Medical Partnership CurrentSince Sep 5, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/13768/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.