DANA MARIE SHEPHERD ARNP
NPI 1558480749
Nurse Practitioner - Pediatrics in Centralia, WA

Q: What is Dana Shepherd's NPI number?

The NPI number for Dana Shepherd is 1558480749. It was assigned to this individual provider in the NPPES registry on March 28, 2007. The provider is also known as Dana Marie Smith Arnp.

Q: What is Dana Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: Is Dana Shepherd enrolled in Medicare?

No. Dana Shepherd has opted out of Medicare through April 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Dana Shepherd was last updated on April 14, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 March 28, 2007Opted out of Medicare · through Apr 1, 2028

1911 COOKS HILL RD, CENTRALIA, WA 98531(360) 736-6778(360) 736-6552 Get Directions Write a Review

NPPES record last updated: April 14, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dana Marie Shepherd Arnp NPPES

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

DANA MARIE SHEPHERD ARNP (NPI 1558480749) is an individual pediatrics provider in Centralia, Washington, licensed in Washington (AP30006273) and active in the NPI registry since March 2007. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1558480749

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameDANA MARIE SHEPHERDCredential: ARNP

Location Address1911 COOKS HILL RDCentralia, WA 98531-9073

Mailing Address1911 Cooks Hill RdCentralia, WA 98531-9073 · (360) 736-6778 · Fax (360) 736-6552

Phone(360) 736-6778

Fax(360) 736-6552

Sole ProprietorNo

Enumeration DateMarch 28, 2007

Last NPPES UpdateApril 14, 2010

✔ NPI 1558480749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in WA · AP30006273

Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License RN00145561 (WA)

1911 COOKS HILL RD, Centralia, WA 98531

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Other Names 1

Former Name (1)Dana Marie Smith Arnp

Other Identifiers 8

Other2914SMWA · Regence

Other1194SMWA · Regence

Other9116SMWA · Regence

Medicaid9636994WA

Medicaid7122617WA

Medicaid7131717WA

Medicaid7131709WA

Medicaid7057375WA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, 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

ⓘ

Opted out of Medicare

Dana Marie Shepherd Arnp has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2014 through April 1, 2028.

Opt-Out Effective DateApril 1, 2014

Opt-Out In Effect ThroughApril 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98531 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

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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.

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.

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