WENDELL BEATY SHEPHERD DO
NPI 1215721428
Student in an Organized Health Care Education/Training Program in Davenport, IA
About Wendell Beaty Shepherd Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WENDELL BEATY SHEPHERD DO (NPI 1215721428) is an individual student in an organized health care education/training program in Davenport, Iowa and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2025).
NPPES Registry Identity
Specialties & Licenses
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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
Wendell Beaty Shepherd Do 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Genesis Hlth System Dba Genesis Mdl Ctr-Illini
Acute Care Hospitals · Silvis, ILGenesis Medical Center-Davenport
Acute Care Hospitals · Davenport, IAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DAVENPORT, IA 52804
DAVENPORT, IA 52804
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 Wendell Shepherd's NPI number?
The NPI number for Wendell Shepherd is 1215721428. It was assigned to this individual provider in the NPPES registry on April 4, 2025.
Where is Wendell Shepherd located?
Wendell Shepherd practices at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.
What is Wendell Shepherd's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Wendell Shepherd enrolled in Medicare?
Yes. Wendell 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 Wendell Shepherd affiliated with any hospitals?
According to CMS data, Wendell Shepherd is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.
When was this NPI record last updated?
The NPPES record for Wendell Shepherd was last updated on April 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.
