NICHOLAS WAYNE SHEPHERD PA
NPI 1366164212
Physician Assistant - Surgical in Mount Vernon, WA

Q: What is Nicholas Shepherd's NPI number?

The NPI number for Nicholas Shepherd is 1366164212. It was assigned to this individual provider in the NPPES registry on September 16, 2022.

Q: What is Nicholas Shepherd's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Shepherd was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 September 16, 2022PECOS EnrolledAccepts Medicare Assignment

2320 FREEWAY DR, MOUNT VERNON, WA 98273(360) 814-6800(360) 814-6953 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 18, 2022, Sep 16, 2022 (2 updates tracked since 2022).

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About Nicholas Wayne Shepherd Pa NPPES

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

NICHOLAS WAYNE SHEPHERD PA (NPI 1366164212) is an individual surgical provider in Mount Vernon, Washington, licensed in Washington (PA61352920) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS, is affiliated with Skagit Valley Hospital, and maintains a secondary practice location in Mount Vernon.

NPPES Registry Identity

NPI1366164212

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameNICHOLAS WAYNE SHEPHERDCredential: PA

Location Address2320 FREEWAY DRMount Vernon, WA 98273-5445

Mailing Address1400 E Kincaid StMount Vernon, WA 98274-4127

Phone(360) 814-6800

Fax(360) 814-6953

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 16, 2022

Last NPPES UpdateNovember 18, 20222 updates tracked since enumeration

NPPES CertifiedNovember 18, 2022

✔ NPI 1366164212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in WA · PA61352920

Also ListedPhysician AssistantTaxonomy 363A00000X · License PA61352920 (WA)

2320 FREEWAY DR, Mount Vernon, WA 98273

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Secondary Practice Location 1

Location 11400 E Kincaid StMount Vernon, WA 98274-4127 · Phone (360) 428-2550

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Nicholas Wayne Shepherd Pa 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 ID941679591

PECOS Enrollment IDI20221204000028

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 4

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 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.

68 services46 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

19 services12 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Skagit Valley Hospital

Acute Care Hospitals · Mount Vernon, WA

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500003

Location1415 E Kincaid StreetMount Vernon, WA 98274 · Skagit County

Emergency services Birthing friendly

Cascade Valley Hospital

Acute Care Hospitals · Arlington, WA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number500060

Location330 S Stillaguamish AveArlington, WA 98223 · Snohomish County

Emergency services Birthing friendly

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.

DR. MICHAEL ARMANDO MARCHETTI M.D.

Dermatology