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DIA SHEPARDSON CM, LM
NPI 1659635951
Advanced Practice Midwife in New York, NY

Active since July 02, 2012PECOS EnrolledAccepts Medicare Assignment
268 E BROADWAY APT A507, NEW YORK, NY 10002(917) 817-8873 Get Directions Write a Review

NPPES record last updated: November 4, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dia Shepardson Cm, Lm NPPES

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

DIA SHEPARDSON CM, LM (NPI 1659635951) is an individual advanced practice midwife in New York, New York, licensed in New York (F001749-1) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1659635951
Entity TypeIndividualFemale
Primary Taxonomy367A00000X
Provider Legal NameDIA SHEPARDSONCredential: CM, LM
Location Address268 E BROADWAY APT A507New York, NY 10002-5653
Mailing Address268 E Broadway Apt A507New York, NY 10002-5653 · (917) 817-8873
Phone(917) 817-8873
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 2, 2012
Last NPPES UpdateNovember 4, 2016
✔ NPI 1659635951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAdvanced Practice MidwifePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367A00000X
License✔ Licensed in NY · F001749-1
Definition
Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception care. Midwives also provide primary care for individuals from adolescence throughout the lifespan as well as care for the healthy newborn during the first 28 days of life. Midwives provide initial and ongoing comprehensive assessment, diagnosis, and treatment. Midwifery care includes health promotion, disease prevention, risk assessment and management, and individualized wellness education and counseling. Source: American College of Nurse-Midwives, www.midwife.org Additional Resources: See the American College of Nurse-Midwives, www.midwife.org, for more information on Certified Nurse-Midwives, Certified Midwives, the American Midwifery Certification Board (AMCB), and licensure.
Also ListedDoulaTaxonomy 374J00000X
268 E BROADWAY APT A507, New York, NY 10002
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dia Shepardson Cm, Lm 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 ID2163772419
PECOS Enrollment IDI20180906002046
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Dia Shepardson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wyckoff Professional Medical Services, PC
3.8 mi
Internal Medicine
374 STOCKHOLM ST
Brooklyn, NY 11237
  • Reassigned Medicare billing, New York enrollment
  • 427 clinicians in this Medicare group
NPI 1659710796 (718) 963-6485
Advantagecare Physicians PC
5.3 mi
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1336578772 (212) 996-8000
North Shore - Lij Medical PC
15 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10002 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
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Dia Shepardson's NPI number?

The NPI number for Dia Shepardson is 1659635951. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Where is Dia Shepardson located?

Dia Shepardson practices at 268 E Broadway Apt A507, New York, NY 10002. The listed phone number is (917) 817-8873.

What is Dia Shepardson's specialty?

The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.

Is Dia Shepardson enrolled in Medicare?

Yes. Dia Shepardson 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.

Which organizations bill Medicare for Dia Shepardson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dia Shepardson reassigns Medicare benefits to 3 organizations: Wyckoff Professional Medical Services, PC (Brooklyn, NY), Advantagecare Physicians PC (New York, NY) and North Shore - Lij Medical PC (New Hyde Park, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dia Shepardson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Dia Shepardson was last updated on November 4, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.