ALICE LYN SHEPARD PNP-BC
NPI 1629333208
Nurse Practitioner - Pediatrics in Eglin Afb, FL
About Alice Lyn Shepard Pnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALICE LYN SHEPARD PNP-BC (NPI 1629333208) is an individual pediatrics provider in Eglin Afb, Florida, licensed in Texas (AP130674) and active in the NPI registry since July 2012. 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)
Alice Lyn Shepard Pnp-bc 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 32542 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.
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 Alice Shepard's NPI number?
The NPI number for Alice Shepard is 1629333208. It was assigned to this individual provider in the NPPES registry on July 10, 2012.
Where is Alice Shepard located?
Alice Shepard practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8550.
What is Alice Shepard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Alice Shepard enrolled in Medicare?
Yes. Alice Shepard is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Alice Shepard was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Alice Lyn Shepard, PNP-BC · NPI 1629333208
Pediatrics physician in Eglin Afb, Florida. Individual provider, active in the CMS NPPES registry since July 10, 2012.
## Identity
- **NPI:** 1629333208 (Entity type: Individual)
- **Enumerated:** July 10, 2012
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP130674 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 307 BOATNER RD STE 114, Eglin Afb, FL 32542
- **Phone:** (850) 883-8550
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629333208) · Data from the CMS NPPES public registry.