SCOTT SHEPHERD CRNA
NPI 1265475388
Nurse Anesthetist, Certified Registered in Fayetteville, AR

Q: What is Scott Shepherd's NPI number?

The NPI number for Scott Shepherd is 1265475388. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Q: What is Scott Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Scott Shepherd was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since June 14, 2006Accepts Medicare Assignment

3215 N NORTHHILLS BLVD, FAYETTEVILLE, AR 72703(918) 664-9892(918) 664-2521 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Scott Shepherd Crna NPPES

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

SCOTT SHEPHERD CRNA (NPI 1265475388) is an individual nurse anesthetist, certified registered in Fayetteville, Arkansas, licensed in Arkansas (C01510) and active in the NPI registry since June 2006. He is a graduate of Other (2004).

NPPES Registry Identity

NPI1265475388

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSCOTT SHEPHERDCredential: CRNA

Location Address3215 N NORTHHILLS BLVDFayetteville, AR 72703-4424

Mailing Address4500 S Garnett Rd, Ste 300Tulsa, OK 74146-5229 · (918) 664-9892 · Fax (918) 664-2521

Phone(918) 664-9892

Fax(918) 664-2521

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJune 14, 2006

Last NPPES UpdateFebruary 10, 2012

✔ NPI 1265475388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in AR · C01510

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

3215 N NORTHHILLS BLVD, Fayetteville, AR 72703

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Other Identifiers 6

Medicare PIN5Y308AR

Medicaid157034001AR

Medicare PIN500299333

Medicare PIN5Y308C129AR

Other771003601AR · Arkansas Breastcare

Medicaid200051950AOK

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

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

Scott Shepherd Crna 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 ID2264473834

PECOS Enrollment IDI20050513000758

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72703 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

$119.36 typical visit price

range $51.36 – $157.74

Typical copayment $29.84 (range $12.84 – $39.43)

Most-billed visit code 99204

Established Patient

$64.56 typical visit price

range $16.16 – $128.77

Typical copayment $16.14 (range $4.04 – $32.19)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Pre-operative OSA assessment

Percentage of patients who undergo a surgical procedure in the operating room/procedure room that have a pre-operative assessment for Obstructive Sleep Apnea (OSA)

100%416 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BRAYTON MCFARLAND CRNA

Nurse Anesthetist, Certified Registered