JESSIE DAWN MOODIE-SHEPHERD NP
NPI 1578850376
Nurse Practitioner - Family in New York, NY
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
Specialties & Licenses
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).
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.
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.
NEW YORK, NY 10119
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 Jessie Moodie-shepherd's NPI number?
The NPI number for Jessie Moodie-shepherd is 1578850376. It was assigned to this individual provider in the NPPES registry on June 30, 2011.
Where is Jessie Moodie-shepherd located?
Jessie Moodie-shepherd practices at 1 Penn Plz 8th Floor, New York, NY 10119. The listed phone number is (646) 761-1725.
What is Jessie Moodie-shepherd's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Jessie Moodie-shepherd enrolled in Medicare?
Yes. Jessie Moodie-shepherd is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Jessie Moodie-shepherd was last updated on July 28, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Jessie Dawn Moodie-Shepherd, NP · NPI 1578850376
Family physician in New York, New York. Individual provider, active in the CMS NPPES registry since June 30, 2011.
## Identity
- **NPI:** 1578850376 (Entity type: Individual)
- **Enumerated:** June 30, 2011
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F336664 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1 PENN PLZ, 8TH FLOOR, New York, NY 10119-0002
- **Phone:** (646) 761-1725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** July 28, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1578850376) · Data from the CMS NPPES public registry.