RYAN SHEPHARD
NPI 1053669036
Nurse Anesthetist, Certified Registered in Jackson, TN

Q: What is Ryan Shephard's NPI number?

The NPI number for Ryan Shephard is 1053669036. It was assigned to this individual provider in the NPPES registry on August 22, 2012.

Q: What is Ryan Shephard'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 Ryan Shephard was last updated on August 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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 August 22, 2012Accepts Medicare Assignment

620 SKYLINE DR, JACKSON, TN 38301(731) 541-7070(731) 541-7075 Get Directions Write a Review

NPPES record last updated: August 22, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ryan Shephard NPPES

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

RYAN SHEPHARD (NPI 1053669036) is an individual nurse anesthetist, certified registered in Jackson, Tennessee, licensed in Tennessee (16939) and active in the NPI registry since August 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1053669036

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameRYAN SHEPHARD

Location Address620 SKYLINE DRJackson, TN 38301-3923

Mailing Address620 Skyline DrJackson, TN 38301-3923

Phone(731) 541-7070

Fax(731) 541-7075

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 22, 2012

✔ NPI 1053669036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code367500000X

License✔ Licensed in TN · 16939

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.

620 SKYLINE DR, Jackson, TN 38301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ryan Shephard 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 ID4486803665

PECOS Enrollment IDI20121003000442

Medicare Billing Reassignments

Medicare enrollment records show Ryan Shephard reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Center Anesthesia Inc.

0.1 mi

Anesthesiology

620 SKYLINE DR
Jackson, TN 38301

Reassigned Medicare billing, Tennessee enrollment
190 clinicians in this Medicare group

NPI 1447591730 (833) 500-9913

West Tennessee Bone And Joint Clinic PC

2.9 mi

Specialist

50 CAPITAL AVE
Jackson, TN 38305

Reassigned Medicare billing, Tennessee enrollment
75 clinicians in this Medicare group

NPI 1831312461 (731) 410-2308

West Tennessee Healthcare Henry County

54 mi

Nurse Anesthetist, Certified Registered

301 TYSON AVE
Paris, TN 38242

Reassigned Medicare billing, Tennessee enrollment
Medicare enrollment name: Henry County Medical Center
83 clinicians in this Medicare group

NPI 1316393176 (731) 644-8479

Specialty Anesthesia Of Tennessee

113 mi

Anesthesiology

1251 LEWISBURG PIKE
Franklin, TN 37064

Reassigned Medicare billing, Tennessee enrollment
108 clinicians in this Medicare group

NPI 1306319942 (901) 682-6828

Northstar Anesthesia Of Tennessee, PLLC

174 mi

Anesthesiology

1559 SPARTA ST
Mcminnville, TN 37110

Reassigned Medicare billing, Tennessee enrollment
75 clinicians in this Medicare group

NPI 1821390451 (817) 861-3994

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 6

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.

Anesthesia for nerve modulation procedure spinal cord or repair of bone of spine of lower back accessed through skin using imaging guidance 01942

Anesthesia for nerve modulation or spine repair involves numbing the lower back area. This is done to ensure you don't feel pain during the procedure. The doctor uses imaging technology to accurately place the anesthetic. This makes the procedure safer and more effective.

28 services27 patients

Anesthesia for procedure on eyelid 00103

Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.

21 services20 patients

Anesthesia for procedure for total knee joint replacement 01402

Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.

16 services16 patients

Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) 64447

This procedure involves injecting a numbing agent and/or steroid into a nerve in your thigh. It's done to alleviate pain or inflammation. A needle will be carefully positioned near the nerve, and the medicine will be administered.

15 services14 patients

Anesthesia for other procedure on skin, muscles, or nerves of head, neck, and upper back 00300

Anesthesia for procedures on skin, muscles, or nerves of the head, neck, and upper back involves using medication to numb the area or make you unconscious during the procedure. This ensures you don't feel pain or discomfort. It's safe and monitored by professionals.

13 services11 patients

Anesthesia for other procedure or exam of knee joint using an endoscope 01400

Anesthesia for a knee joint procedure or exam using an endoscope involves administering medication to numb the area or put you in a sleep-like state. This ensures you don't feel pain during the procedure. The endoscope, a thin tube with a camera, allows the doctor to view the knee joint internally without making large incisions.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38301 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

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.

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