JEREMY DOUGLAS SHEPHERD
NPI 1134944788
Nurse Practitioner - Family in Clarksville, TN

Active since November 19, 2024PECOS EnrolledAccepts Medicare Assignment
651 DUNLOP LN, CLARKSVILLE, TN 37040(931) 502-1000 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 10, 2025, Dec 28, 2024, Nov 19, 2024 (3 updates tracked since 2024).

About Jeremy Douglas Shepherd NPPES

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

JEREMY DOUGLAS SHEPHERD (NPI 1134944788) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (37981) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS, is affiliated with Tennova Healthcare-clarksville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1134944788
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameJEREMY DOUGLAS SHEPHERD
Location Address651 DUNLOP LNClarksville, TN 37040-5015
Mailing Address651 Dunlop LnClarksville, TN 37040-5015 · (931) 502-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 19, 2024
Last NPPES UpdateJanuary 10, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2025
NPI 1134944788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in TN · 37981
Also ListedEmergency Medical Technician, ParamedicTaxonomy 146L00000X
Also ListedRegistered NurseTaxonomy 163W00000X · License 259150 (TN)
651 DUNLOP LN, Clarksville, TN 37040

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

Jeremy Douglas Shepherd 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 ID5193238327
PECOS Enrollment IDI20250701002874
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.

Hospital Affiliations CMS Care Compare

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

Tennova Healthcare-Clarksville

Acute Care Hospitals · Clarksville, TN
1/5 CMS rating
OwnershipProprietary
CMS Certification Number440035
Location651 Dunlop LaneClarksville, TN 37040 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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 20

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

Nurse Anesthetist, Certified Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Specialist
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040
Dietitian, Registered
651 DUNLOP LN
CLARKSVILLE, TN 37040
Nurse Practitioner (Acute Care)
651 DUNLOP LN
CLARKSVILLE, TN 37040
Emergency Medicine
651 DUNLOP LN
CLARKSVILLE, TN 37040

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 Jeremy Shepherd's NPI number?

The NPI number for Jeremy Shepherd is 1134944788. It was assigned to this individual provider in the NPPES registry on November 19, 2024.

Where is Jeremy Shepherd located?

Jeremy Shepherd practices at 651 Dunlop Ln, Clarksville, TN 37040. The listed phone number is (931) 502-1000.

What is Jeremy Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jeremy Shepherd enrolled in Medicare?

Yes. Jeremy 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 Jeremy Shepherd affiliated with any hospitals?

According to CMS data, Jeremy Shepherd is affiliated with Tennova Healthcare-Clarksville.

When was this NPI record last updated?

The NPPES record for Jeremy Shepherd was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.