JESSIE DAWN MOODIE-SHEPHERD NP
NPI 1578850376
Nurse Practitioner - Family in New York, NY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

Active since June 30, 2011PECOS Enrolled

1 PENN PLZ, 8TH FLOOR, NEW YORK, NY 10119(646) 761-1725 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Jessie Dawn Moodie-shepherd Np NPPES

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

JESSIE DAWN MOODIE-SHEPHERD NP (NPI 1578850376) is an individual family provider in New York, New York, licensed in New York (F336664) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578850376

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJESSIE DAWN MOODIE-SHEPHERDCredential: NP

Location Address1 PENN PLZ, 8TH FLOORNew York, NY 10119-0002

Mailing Address1 Penn Plz, 8th FloorNew York, NY 10119-0002 · (646) 761-1725

Phone(646) 761-1725

Sole ProprietorYes

Enumeration DateJune 30, 2011

Last NPPES UpdateJuly 28, 2015

✔ NPI 1578850376 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 NY · F336664

1 PENN PLZ, New York, NY 10119

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jessie Dawn Moodie-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10119 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

$102.04 typical visit price

range $65.69 – $198.19

Typical copayment $25.51 (range $16.42 – $49.54)

Most-billed visit code 99203

Established Patient

$114.88 typical visit price

range $21.20 – $160.66

Typical copayment $28.72 (range $5.30 – $40.16)

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.