KYLE A SHEPHERD APRN
NPI 1578269684
Nurse Practitioner in Jacksonville, FL

Q: What is Kyle Shepherd's NPI number?

The NPI number for Kyle Shepherd is 1578269684. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Q: What is Kyle Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kyle Shepherd was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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 February 01, 2023PECOS EnrolledAccepts Medicare Assignment

836 PRUDENTIAL DR STE 1700, JACKSONVILLE, FL 32207(904) 398-0125(904) 376-3206 Get Directions Write a Review

NPPES record last updated: November 25, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 25, 2025, May 7, 2024, Feb 1, 2023 (3 updates tracked since 2023).

On this page

About Kyle A Shepherd Aprn NPPES

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

KYLE A SHEPHERD APRN (NPI 1578269684) is an individual nurse practitioner in Jacksonville, Florida, licensed in Florida (APRN11020417) and active in the NPI registry since February 2023. He is enrolled in Medicare PECOS, is affiliated with Shands Jacksonville, and is a graduate of Other.

NPPES Registry Identity

NPI1578269684

Entity TypeIndividualMale

Primary Taxonomy363L00000X

Provider Legal NameKYLE A SHEPHERDCredential: APRN

Location Address836 PRUDENTIAL DR STE 1700Jacksonville, FL 32207-8344

Mailing AddressPo Box 746652Atlanta, GA 30374-6652 · (904) 202-2092 · Fax (904) 376-4075

Phone(904) 398-0125

Fax(904) 376-3206

Sole ProprietorNo

Medical School CMSOther

Enumeration DateFebruary 1, 2023

Last NPPES UpdateNovember 25, 20253 updates tracked since enumeration

NPPES CertifiedNovember 25, 2025

✔ NPI 1578269684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in FL · APRN11020417

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License APRN11020417 (FL)

836 PRUDENTIAL DR STE 1700, Jacksonville, FL 32207

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed.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

Kyle A Shepherd Aprn 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 ID2961841796

PECOS Enrollment IDI20240412002976

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

76 services14 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 services14 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.

12 services11 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Shands Jacksonville

Acute Care Hospitals · Jacksonville, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100001

Location655 W 8th StJacksonville, FL 32209 · Duval County

Emergency services Birthing friendly

Baptist Health Medical Center - Jacksonville

Acute Care Hospitals · Jacksonville, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100088

Location800 Prudential DrJacksonville, FL 32207 · Duval County

Emergency services Birthing friendly

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100117

Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County

Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100140

Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32207 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

DR. BHARAT KUMAR GUMMADI MD

Internal Medicine (Interventional Cardiology)

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

MARY SLOAN COURTNEY APRN

Nurse Practitioner (Acute Care)

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

DR. SALIL J. PATEL MD

Internal Medicine (Interventional Cardiology)

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

DR. MATTHEW STEPHEN MCKILLOP M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

DR. CARL DAVID HASSEL MD

Internal Medicine (Interventional Cardiology)

836 PRUDENTIAL DR STE 1700, CREDENTIALING DEPARTMENT
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

MRS. KIMBERLY MARIE PETRAGNANI ARNP

Nurse Practitioner

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

CHRISTINA P BACH APRN

Nurse Practitioner

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

DR. CHRISTOPHER P RUISI M.D.

Internal Medicine (Clinical Cardiac Electrophysiology)

836 PRUDENTIAL DR STE 1700
JACKSONVILLE, FL 32207

Duval County (904) 398-0125

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 Kyle Shepherd's NPI number?

The NPI number for Kyle Shepherd is 1578269684. It was assigned to this individual provider in the NPPES registry on February 1, 2023.

Where is Kyle Shepherd located?

Kyle Shepherd practices at 836 Prudential Dr Ste 1700, Jacksonville, FL 32207. The listed phone number is (904) 398-0125.

What is Kyle Shepherd's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kyle Shepherd enrolled in Medicare?

Yes. Kyle Shepherd 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 Kyle Shepherd accept?

Health plans from AvMed list Kyle 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.

Is Kyle Shepherd affiliated with any hospitals?

According to CMS data, Kyle Shepherd is affiliated with Shands Jacksonville, Baptist Health Medical Center - Jacksonville, Baptist Medical Center Beaches and Baptist Medical Center - Nassau.

When was this NPI record last updated?

The NPPES record for Kyle Shepherd was last updated on November 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.