MARY ALICE SHEPARD M.D.
NPI 1669485165
Internal Medicine in Vancouver, WA
About Mary Alice Shepard M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY ALICE SHEPARD M.D. (NPI 1669485165) is an individual internal medicine provider in Vancouver, Washington, licensed in Washington (MD00023639) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of University Of California, San Francisco School Of Medicine (1978).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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
Mary Alice Shepard M.d. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Mary Shepard reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Vancouver, WA 98686
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
- 2,534 clinicians in this Medicare group
Spokane, WA 99204
- Reassigned Medicare billing, Washington enrollment
- 862 clinicians in this Medicare group
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 98661 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.
VANCOUVER, WA 98661
VANCOUVER, WA 98661
VANCOUVER, WA 98661
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 Mary Shepard's NPI number?
The NPI number for Mary Shepard is 1669485165. It was assigned to this individual provider in the NPPES registry on August 14, 2006.
Where is Mary Shepard located?
Mary Shepard practices at 2211 E Mill Plain Blvd, Vancouver, WA 98661. The listed phone number is (360) 418-6001.
What is Mary Shepard's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mary Shepard enrolled in Medicare?
Yes. Mary Shepard 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 Mary Shepard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Shepard reassigns Medicare benefits to 2 organizations: Manor Care Of Salmon Creek Wa, Association (Vancouver, WA) and Providence Health & Services Washington (Spokane, WA). 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 Mary Shepard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Mary Shepard accept?
Health plans from Premera Blue Cross Blue Shield of Alaska list Mary Shepard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Mary Shepard was last updated on October 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Mary Alice Shepard, M.D. · NPI 1669485165
Internal Medicine physician in Vancouver, Washington. Individual provider, active in the CMS NPPES registry since August 14, 2006.
## Identity
- **NPI:** 1669485165 (Entity type: Individual)
- **Enumerated:** August 14, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD00023639 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 2211 E MILL PLAIN BLVD, Vancouver, WA 98661-4329
- **Phone:** (360) 418-6001 · **Fax:** (130) 418-6008
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Manor Care Of Salmon Creek Wa, Association (NPI 1609171081, Vancouver, WA); Providence Health & Services Washington (NPI 1194099390, Spokane, WA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of California, San Francisco School Of Medicine, class of 1978
## Record status
- **NPPES last updated:** October 13, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669485165) · Data from the CMS NPPES public registry.