SUSANNA M SHEPARD FNP
NPI 1003992058
Nurse Practitioner - Family in Gastonia, NC
About Susanna M Shepard Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUSANNA M SHEPARD FNP (NPI 1003992058) is an individual family provider in Gastonia, North Carolina, licensed in North Carolina (5005161) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Caromont Regional Medical Center, and is a graduate of University Of Tennessee, Hsc, College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Susanna M Shepard Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Susanna Shepard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Asheville, NC 28806
- Reassigned Medicare billing, North Carolina enrollment
- 43 clinicians in this Medicare group
Gastonia, NC 28056
- Reassigned Medicare billing, North Carolina enrollment
- 67 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Caromont Regional Medical Center
Acute Care Hospitals · Gastonia, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28056 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GASTONIA, NC 28056
GASTONIA, NC 28056
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Susanna Shepard's NPI number?
The NPI number for Susanna Shepard is 1003992058. It was assigned to this individual provider in the NPPES registry on October 31, 2006. The provider is also known as Susanna M Byrd Nfp.
Where is Susanna Shepard located?
Susanna Shepard practices at 2910 East Franklin Blvd #1, Gastonia, NC 28056. The listed phone number is (704) 648-0460.
What is Susanna Shepard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Susanna Shepard enrolled in Medicare?
Yes. Susanna Shepard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Susanna Shepard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Susanna Shepard reassigns Medicare benefits to 2 organizations: Centerwell Senior Primary Care Nc Jv PC (Asheville, NC) and Centerwell Senior Primary Care (nc) PC (Gastonia, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susanna Shepard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Susanna Shepard affiliated with any hospitals?
According to CMS data, Susanna Shepard is affiliated with Caromont Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Susanna Shepard was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Susanna M Shepard, FNP · NPI 1003992058
Family physician in Gastonia, North Carolina. Individual provider, active in the CMS NPPES registry since October 31, 2006.
## Identity
- **NPI:** 1003992058 (Entity type: Individual)
- **Enumerated:** October 31, 2006
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 5005161 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 2910 EAST FRANKLIN BLVD #1, Gastonia, NC 28056-7225
- **Phone:** (704) 648-0460 · **Fax:** (855) 446-7146
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Centerwell Senior Primary Care Nc Jv PC (NPI 1003648452, Asheville, NC); Centerwell Senior Primary Care (nc) PC (NPI 1073034625, Gastonia, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Tennessee, Hsc, College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** March 10, 2026
- **Other identifiers:** Medicaid 7004977 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1003992058) · Data from the CMS NPPES public registry.