SELENA SHEPPARD PA-C
NPI 1295491041
Physician Assistant in Walled Lake, MI

Active since November 15, 2021PECOS EnrolledAccepts Medicare Assignment
620 N PONTIAC TRL, WALLED LAKE, MI 48390(248) 624-4511 Get Directions Write a Review

NPPES record last updated: February 20, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 20, 2025, Jun 8, 2023, Nov 15, 2021 (3 updates tracked since 2021).

About Selena Sheppard Pa-c NPPES

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

SELENA SHEPPARD PA-C (NPI 1295491041) is an individual physician assistant in Walled Lake, Michigan, licensed in Michigan (5601010742) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1295491041
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSELENA SHEPPARDCredential: PA-C
Location Address620 N PONTIAC TRLWalled Lake, MI 48390-3448
Mailing Address620 N Pontiac TrlWalled Lake, MI 48390-3448 · (248) 624-4511
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 15, 2021
Last NPPES UpdateFebruary 20, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2025
NPI 1295491041 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 MI · 5601010742
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.

620 N PONTIAC TRL, Walled Lake, MI 48390

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

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 and accepts Medicare assignment

Selena Sheppard Pa-c 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 ID4082009857
PECOS Enrollment IDI20220314000239
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 7

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
169 services99 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
41 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
24 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services16 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
13 services13 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48390 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
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.

Other Providers at the Same Location NPPES 16

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

Student in an Organized Health Care Education/Training Program
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacy Technician
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Nurse Practitioner (Family)
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Physician Assistant
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390
Pharmacist
620 N PONTIAC TRL
WALLED LAKE, MI 48390

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 Selena Sheppard's NPI number?

The NPI number for Selena Sheppard is 1295491041. It was assigned to this individual provider in the NPPES registry on November 15, 2021.

Where is Selena Sheppard located?

Selena Sheppard practices at 620 N Pontiac Trl, Walled Lake, MI 48390. The listed phone number is (248) 624-4511.

What is Selena Sheppard's specialty?

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

Is Selena Sheppard enrolled in Medicare?

Yes. Selena Sheppard 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.

What insurance does Selena Sheppard accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Priority Health and 1 other insurer list Selena Sheppard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Selena Sheppard was last updated on February 20, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.