TABITHA JO SHEPHERD CRNA
NPI 1023833555
Nurse Anesthetist, Certified Registered in Jacksonville, FL

Q: What is Tabitha Shepherd's NPI number?

The NPI number for Tabitha Shepherd is 1023833555. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Q: What is Tabitha Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Tabitha Shepherd was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since November 19, 2024Accepts Medicare Assignment

1 SHIRCLIFF WAY, JACKSONVILLE, FL 32204(904) 308-7300 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2025, Dec 28, 2024, Nov 19, 2024 (3 updates tracked since 2024).

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About Tabitha Jo Shepherd Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TABITHA JO SHEPHERD CRNA (NPI 1023833555) is an individual nurse anesthetist, certified registered in Jacksonville, Florida, licensed in Florida (APRN11036894) and active in the NPI registry since November 2024. She is affiliated with Ascension St Vincent's Riverside and is a graduate of Other (2024).

NPPES Registry Identity

NPI1023833555

Entity TypeIndividualFemale

Primary Taxonomy367500000X

Provider Legal NameTABITHA JO SHEPHERDCredential: CRNA

Location Address1 SHIRCLIFF WAYJacksonville, FL 32204-4748

Mailing Address2664 Cold Stream LnGreen Cove Springs, FL 32043-8623 · (405) 413-4600

Phone(904) 308-7300

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateNovember 19, 2024

Last NPPES UpdateMay 29, 20253 updates tracked since enumeration

NPPES CertifiedMay 29, 2025

✔ NPI 1023833555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

Licenses✔ Licensed in FL · APRN11036894✔ Licensed in FL · 155023

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License RN9580294 (FL)

1 SHIRCLIFF WAY, Jacksonville, FL 32204

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tabitha Jo Shepherd Crna is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012447998

PECOS Enrollment IDI20250206003150

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100040

Location1 Shircliff WayJacksonville, FL 32204 · Duval County

Emergency services

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100307

Location4201 Belfort RdJacksonville, FL 32216 · Duval County

Emergency services Birthing friendly

Ascension St Vincent's Clay County

Acute Care Hospitals · Middleburg, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100321

Location1670 St Vincents WayMiddleburg, FL 32068 · Clay County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32204 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPREHENSIVE CARE PARTNERS LLC

Surgery

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (352) 250-2650

DR. SARAH ANNE PISCITELLO CRNA

Nurse Anesthetist, Certified Registered

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (904) 477-5855

MRS. JENNIFER ANNE ALLEN NP

Nurse Practitioner (Critical Care Medicine)

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (904) 308-7300

MAX T BILLINGSLEY MD

Emergency Medicine (Emergency Medical Services)

1 SHIRCLIFF WAY, EMERGENCY DEPARTMENT
JACKSONVILLE, FL 32204

Duval County (904) 346-5426

TABITHA JAY BARRETT CRNA

Nurse Anesthetist, Certified Registered

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (954) 939-5216

PAUL D LUCEY MD

Emergency Medicine

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (904) 308-7300

WILBUR L AUGENSTEIN MD

Emergency Medicine (Emergency Medical Services)

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (904) 308-7300

CHANEL WOOD MD

Radiology (Diagnostic Radiology)

1 SHIRCLIFF WAY
JACKSONVILLE, FL 32204

Duval County (904) 308-7300

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 Tabitha Shepherd's NPI number?

The NPI number for Tabitha Shepherd is 1023833555. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Tabitha Shepherd located?

Tabitha Shepherd practices at 1 Shircliff Way, Jacksonville, FL 32204. The listed phone number is (904) 308-7300.

What is Tabitha Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tabitha Shepherd enrolled in Medicare?

Yes. Tabitha Shepherd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tabitha Shepherd affiliated with any hospitals?

According to CMS data, Tabitha Shepherd is affiliated with Ascension St Vincent's Riverside, Ascension St Vincent's Southside and Ascension St Vincent's Clay County.

When was this NPI record last updated?

The NPPES record for Tabitha Shepherd was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.