SERENA E. SHEPPARD ARNP
NPI 1609855410
Nurse Practitioner in Ada, OK

Q: What is Serena Sheppard's NPI number?

The NPI number for Serena Sheppard is 1609855410. It was assigned to this individual provider in the NPPES registry on January 10, 2006. The provider is also known as Serena E Black.

Q: What is Serena Sheppard'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 Serena Sheppard was last updated on July 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 January 10, 2006PECOS EnrolledAccepts Medicare Assignment

1921 STONECIPHER BLVD, ADA, OK 74820(580) 310-5687 Get Directions Write a Review

NPPES record last updated: July 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 14, 2020, Apr 20, 2020, Jan 9, 2018 (3 updates tracked since 2018).

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About Serena E. Sheppard Arnp NPPES

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

SERENA E. SHEPPARD ARNP (NPI 1609855410) is an individual nurse practitioner in Ada, Oklahoma, licensed in Oklahoma (R0067512) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Chickasaw Nation Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1609855410

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSERENA E. SHEPPARDCredential: ARNP

Location Address1921 STONECIPHER BLVDAda, OK 74820-3439

Mailing Address1921 Stonecipher BlvdAda, OK 74820-3439 · (580) 310-5687

Phone(580) 310-5687

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateJanuary 10, 2006

Last NPPES UpdateJuly 14, 20203 updates tracked since enumeration

NPPES CertifiedJuly 14, 2020

✔ NPI 1609855410 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in OK · R0067512

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.

1921 STONECIPHER BLVD, Ada, OK 74820

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Other Names 1

Former Name (1)Serena E Black

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, UnitedHealthcare.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

Serena E. Sheppard Arnp 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 ID1951326248

PECOS Enrollment IDI20051005001080

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.

Hospital Affiliations CMS Care Compare

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

Chickasaw Nation Medical Center

Acute Care Hospitals · Ada, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number370180

Location1921 Stonecipher BlvdAda, OK 74820 · Pontotoc County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74820 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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. JOSHUA ALLEN MAYO DDS

Dentist