1. Home
  2. Directory
  3. Tennessee
  4. Johnson City
  5. Nurse Practitioner
  6. NPI Profile

DEXTER SHEPHERD NP
NPI 1306204631
Nurse Practitioner - Family in Johnson City, TN

Active since February 01, 2016PECOS Enrolled
229 BART GREENE DR, JOHNSON CITY, TN 37615(423) 946-0971 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dexter Shepherd Np NPPES

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

DEXTER SHEPHERD NP (NPI 1306204631) is an individual family provider in Johnson City, Tennessee, licensed in Tennessee (174366) and active in the NPI registry since February 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306204631
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameDEXTER SHEPHERDCredential: NP
Location Address229 BART GREENE DRJohnson City, TN 37615-4612
Mailing Address119 Boone Ridge Dr, Ste 201Johnson City, TN 37615-8000 · (423) 282-1480 · Fax (423) 928-1353
Phone(423) 946-0971
Sole ProprietorYes
Enumeration DateFebruary 1, 2016
Last NPPES UpdateAugust 3, 2016
✔ NPI 1306204631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TN · 174366
229 BART GREENE DR, Johnson City, TN 37615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dexter Shepherd Np 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dexter Shepherd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
1.8 mi
Urgent Care
203 GRAY COMMONS CIR, SUITE B
Gray, TN 37615
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1205866092 (423) 467-4802
Southeastern Physician Services PC
103 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Tennessee enrollment
  • 1,085 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37615 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Dexter Shepherd's NPI number?

The NPI number for Dexter Shepherd is 1306204631. It was assigned to this individual provider in the NPPES registry on February 1, 2016.

Where is Dexter Shepherd located?

Dexter Shepherd practices at 229 Bart Greene Dr, Johnson City, TN 37615. The listed phone number is (423) 946-0971.

What is Dexter Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Dexter Shepherd enrolled in Medicare?

Yes. Dexter Shepherd is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dexter Shepherd's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dexter Shepherd reassigns Medicare benefits to 2 organizations: Blue Ridge Medical Management Corporation (Gray, TN) and Southeastern Physician Services PC (Oak Ridge, TN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dexter Shepherd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dexter Shepherd accept?

Health plans from Cigna Healthcare list Dexter Shepherd 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 Dexter Shepherd was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.