JENNIFER SHEPARD NNP-BC
NPI 1114382207
Nurse Practitioner - Neonatal, Critical Care in Boise, ID

Q: What is Jennifer Shepard's NPI number?

The NPI number for Jennifer Shepard is 1114382207. It was assigned to this individual provider in the NPPES registry on December 16, 2015.

Q: What is Jennifer Shepard's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Shepard was last updated on December 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 16, 2015PECOS Enrolled

190 E BANNOCK ST, BOISE, ID 83712(208) 381-2088(208) 381-2893 Get Directions Write a Review

NPPES record last updated: December 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Jennifer Shepard Nnp-bc NPPES

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

JENNIFER SHEPARD NNP-BC (NPI 1114382207) is an individual neonatal, critical care provider in Boise, Idaho, licensed in Idaho (NP-1671A) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114382207

Entity TypeIndividualFemale

Primary Taxonomy363LN0005X

Provider Legal NameJENNIFER SHEPARDCredential: NNP-BC

Location Address190 E BANNOCK STBoise, ID 83712-6241

Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2088 · Fax (208) 381-2893

Phone(208) 381-2088

Fax(208) 381-2893

Sole ProprietorNo

Enumeration DateDecember 16, 2015

✔ NPI 1114382207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0005X

License✔ Licensed in ID · NP-1671A

190 E BANNOCK ST, Boise, ID 83712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Shepard Nnp-bc 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 83712 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

$81.13 typical visit price

range $52.44 – $160.17

Typical copayment $20.28 (range $13.11 – $40.04)

Most-billed visit code 99203

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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.

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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.

NORA M SUAREZ NP

Nurse Practitioner (Neonatal, Critical Care)