MICHELLE TAMARA SHEPARD M.D., PHD.
NPI 1194016956
Pediatrics in Williston, VT

Active since April 28, 2011PECOS Enrolled
353 BLAIR PARK RD, WILLISTON, VT 05495(802) 847-1440 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 19, 2025, Oct 18, 2017 (2 updates tracked since 2017).

About Michelle Tamara Shepard M.d., Phd. NPPES

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

MICHELLE TAMARA SHEPARD M.D., PHD. (NPI 1194016956) is an individual pediatrics provider in Williston, Vermont, licensed in Vermont (042-0012954) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1194016956
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMICHELLE TAMARA SHEPARDCredential: M.D., PHD.
Location Address353 BLAIR PARK RDWilliston, VT 05495-7530
Mailing Address111 Colchester AveBurlington, VT 05401-1473
Sole ProprietorNo
Enumeration DateApril 28, 2011
Last NPPES UpdateSeptember 19, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2025
NPI 1194016956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in VT · 042-0012954
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 042.0012954 (VT)
353 BLAIR PARK RD, Williston, VT 05495

Other Names 1

Former Name (1)Michelle Tamara Norton

Secondary Practice Locations 3

Location 1111 Colchester Ave, Main Campus, Smith 5Burlington, VT 05401-1473 · Phone (802) 847-0000
Location 21 S Prospect StBurlington, VT 05401-3456 · Phone (802) 847-4696
Location 3246 Granger Rd Ste 1Barre, VT 05641-5352 · Phone (802) 371-5950

Other Identifiers 2

Medicaid3098587NH
Medicaid1023652VT

Accepted 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)

Michelle Tamara Shepard M.d., Phd. 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 05495 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
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$98.40 typical visit price
range $18.08 – $137.84
Typical copayment $24.60 (range $4.52 – $34.46)
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.

Advanced Practice Midwife
353 BLAIR PARK RD
WILLISTON, VT 05495
Nurse Practitioner (Family)
353 BLAIR PARK RD
WILLISTON, VT 05495
Nurse Practitioner (Primary Care)
353 BLAIR PARK RD, GIVEN HEALTH CARE
WILLISTON, VT 05495
Pediatrics
353 BLAIR PARK RD
WILLISTON, VT 05495
Advanced Practice Midwife
353 BLAIR PARK RD
WILLISTON, VT 05495
Obstetrics & Gynecology
353 BLAIR PARK RD
WILLISTON, VT 05495
Internal Medicine
353 BLAIR PARK RD
WILLISTON, VT 05495
Advanced Practice Midwife
353 BLAIR PARK RD, WOMEN'S HEALTH SERVICE
WILLISTON, VT 05495

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194016956, enumerated as an "individual" on April 28, 2011.

The provider is located at 353 BLAIR PARK RD WILLISTON, VT 05495 and the phone number is (802) 847-1440.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.