NICOLE SHEPARD AG-ACNP
NPI 1043989064
Nurse Practitioner - Acute Care in Athens, GA

Q: What is Nicole Shepard's NPI number?

The NPI number for Nicole Shepard is 1043989064. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Q: What is Nicole Shepard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Shepard was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 13, 2021PECOS Enrolled

3320 OLD JEFFERSON RD STE 200A, ATHENS, GA 30607(706) 549-5560 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Nicole Shepard Ag-acnp NPPES

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

NICOLE SHEPARD AG-ACNP (NPI 1043989064) is an individual acute care provider in Athens, Georgia, licensed in Georgia (305022) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1043989064

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameNICOLE SHEPARDCredential: AG-ACNP

Location Address3320 OLD JEFFERSON RD STE 200AAthens, GA 30607-1478

Mailing Address3320 Old Jefferson Rd Ste 200aAthens, GA 30607-1478 · (706) 549-5560

Phone(706) 549-5560

Sole ProprietorYes

Enumeration DateSeptember 13, 2021

Last NPPES UpdateOctober 22, 2025

NPPES CertifiedOctober 22, 2025

✔ NPI 1043989064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in GA · 305022

3320 OLD JEFFERSON RD STE 200A, Athens, GA 30607

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Secondary Practice Location 1

Location 11199 Prince AveAthens, GA 30606-2797 · Phone (706) 475-7000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Shepard Ag-acnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30607 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

$83.23 typical visit price

range $53.31 – $164.04

Typical copayment $20.80 (range $13.32 – $41.01)

Most-billed visit code 99203

Established Patient

$94.84 typical visit price

range $16.68 – $133.24

Typical copayment $23.71 (range $4.17 – $33.31)

Most-billed visit code 99214

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 7

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

SUMEER TAH

Internal Medicine (Sleep Medicine)