DR. CHARLES WEBSTER SHEPARD M.D.
NPI 1376713107
Pediatrics - Pediatric Cardiology in Minneapolis, MN
About Dr. Charles Webster Shepard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. CHARLES WEBSTER SHEPARD M.D. (NPI 1376713107) is an individual pediatric cardiology provider in Minneapolis, Minnesota, licensed in Minnesota (50718) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Charles Webster Shepard M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Charles Shepard reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55404
- Reassigned Medicare billing, Minnesota enrollment
- 551 clinicians in this Medicare group
Sartell, MN 56377
- Reassigned Medicare billing, Minnesota enrollment
- 136 clinicians in this Medicare group
Rochester, MN 55905
- Reassigned Medicare billing, Minnesota enrollment
- 6,534 clinicians in this Medicare group
Cloquet, MN 55720
- Reassigned Medicare billing, Minnesota enrollment
- 1,460 clinicians in this Medicare group
Wahpeton, ND 58075
- Reassigned Medicare billing, North Dakota enrollment
- 617 clinicians in this Medicare group
Grand Marais, MN 55604
- Reassigned Medicare billing, Minnesota enrollment
- 81 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Charles Shepard's NPI number?
The NPI number for Charles Shepard is 1376713107. It was assigned to this individual provider in the NPPES registry on March 7, 2008.
Where is Charles Shepard located?
Charles Shepard practices at 2530 Chicago Avenue South Suite 500, Minneapolis, MN 55404. The listed phone number is (612) 813-8800.
What is Charles Shepard's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.
Is Charles Shepard enrolled in Medicare?
Yes. Charles Shepard is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Charles Shepard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Charles Shepard reassigns Medicare benefits to 6 organizations: Children's Health Care (Minneapolis, MN), Lakewood Health System (Sartell, MN), Mayo Clinic (Rochester, MN), The Duluth Clinic Ltd (Cloquet, MN), Innovis Health, LLC. (Wahpeton, ND) and 1 more organization, listed in the Medicare section above. 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 Charles Shepard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Charles Shepard accept?
Health plans from Blue Cross Blue Shield of North Dakota and HealthPartners list Charles Shepard 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 Charles Shepard was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Charles Webster Shepard, M.D. · NPI 1376713107
Pediatric Cardiology physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 7, 2008.
## Identity
- **NPI:** 1376713107 (Entity type: Individual)
- **Enumerated:** March 7, 2008
- **Primary specialty:** Pediatrics - Pediatric Cardiology · taxonomy 2080P0202X
- **State license:** 50718 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2530 CHICAGO AVENUE SOUTH SUITE 500, Minneapolis, MN 55404
- **Phone:** (612) 813-8800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Children's Health Care (NPI 1841738952, Minneapolis, MN); Lakewood Health System (NPI 1669759866, Sartell, MN); Mayo Clinic (NPI 1114343860, Rochester, MN); The Duluth Clinic Ltd (NPI 1902563638, Cloquet, MN); Innovis Health, LLC. (NPI 1790965440, Wahpeton, ND); and 1 more · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 12, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376713107) · Data from the CMS NPPES public registry.