JONATHAN LANE SHEPARD PA-C
NPI 1205174174
Physician Assistant in Cortez, CO

Q: What is Jonathan Shepard's NPI number?

The NPI number for Jonathan Shepard is 1205174174. It was assigned to this individual provider in the NPPES registry on January 28, 2013.

Q: What is Jonathan Shepard's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Shepard was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.

Active since January 28, 2013PECOS Enrolled

1413 N MILDRED RD, CORTEZ, CO 81321(970) 564-1037(970) 564-1041 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 5, 2024, Mar 22, 2021, Nov 7, 2019 (3 updates tracked since 2019).

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About Jonathan Lane Shepard Pa-c NPPES

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

JONATHAN LANE SHEPARD PA-C (NPI 1205174174) is an individual physician assistant in Cortez, Colorado, licensed in Colorado (PA.0004608) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205174174

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJONATHAN LANE SHEPARDCredential: PA-C

Location Address1413 N MILDRED RDCortez, CO 81321-2258

Mailing Address1413 N Mildred RdCortez, CO 81321-2258

Phone(970) 564-1037

Fax(970) 564-1041

Sole ProprietorNo

Enumeration DateJanuary 28, 2013

Last NPPES UpdateNovember 5, 20243 updates tracked since enumeration

NPPES CertifiedNovember 5, 2024

✔ NPI 1205174174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CO · PA.0004608

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1413 N MILDRED RD, Cortez, CO 81321

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jonathan Lane Shepard Pa-c 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.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with straightforward medical decision making 99282

An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.

21 services19 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81321 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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.

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Other Providers at the Same Location NPPES 7

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

SOUTHWEST HEALTH SYSTEM, INC.

Clinic/Center (Rural Health)