MICHELLE R. SHEPHERD PMHNP-BC
NPI 1114571445
Nurse Practitioner - Psychiatric/Mental Health in Moline, IL
About Michelle R. Shepherd Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHELLE R. SHEPHERD PMHNP-BC (NPI 1114571445) is an individual psychiatric/mental health provider in Moline, Illinois, licensed in Iowa (G154523) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Michelle R. Shepherd Pmhnp-bc 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.
Medicare Billing Reassignments
2Medicare enrollment records show Michelle Shepherd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Moline, IL 61265
- Reassigned Medicare billing, Iowa and Illinois enrollments
- 43 clinicians in this Medicare group
Rock Island, IL 61201
- Reassigned Medicare billing, Iowa and Illinois enrollments
- 138 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Michelle Shepherd's NPI number?
The NPI number for Michelle Shepherd is 1114571445. It was assigned to this individual provider in the NPPES registry on July 25, 2019.
Where is Michelle Shepherd located?
Michelle Shepherd practices at 4600 3rd St, Moline, IL 61265. The listed phone number is (309) 779-2031.
What is Michelle Shepherd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Michelle Shepherd enrolled in Medicare?
Yes. Michelle 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.
Which organizations bill Medicare for Michelle Shepherd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michelle Shepherd reassigns Medicare benefits to 2 organizations: The Robert Young Center For Community Mental Health (Moline, IL) and Trinity Medical Center (Rock Island, IL). 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 Michelle Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Michelle Shepherd accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Wellmark Health Plan of Iowa, Inc. list Michelle Shepherd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Michelle Shepherd was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Michelle R. Shepherd, PMHNP-BC · NPI 1114571445
Psychiatric/Mental Health physician in Moline, Illinois. Individual provider, active in the CMS NPPES registry since July 25, 2019.
## Identity
- **NPI:** 1114571445 (Entity type: Individual)
- **Enumerated:** July 25, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** G154523 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 4600 3RD ST, Moline, IL 61265-6106
- **Phone:** (309) 779-2031
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **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): The Robert Young Center For Community Mental Health (NPI 1912158494, Moline, IL); Trinity Medical Center (NPI 1568414134, Rock Island, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** July 25, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1114571445) · Data from the CMS NPPES public registry.