JACLYN SURLES SHEPARD PSYD
NPI 1932335486
Psychologist - Clinical in Charlottesville, VA
About Jaclyn Surles Shepard Psyd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACLYN SURLES SHEPARD PSYD (NPI 1932335486) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810004538) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses 2
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
Jaclyn Surles Shepard Psyd 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 Reassignment
Medicare enrollment records show Jaclyn Shepard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Charlottesville, VA 22911
- Reassigned Medicare billing, Virginia enrollment
- 2,820 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 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHARLOTTESVILLE, VA 22908
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 Jaclyn Shepard's NPI number?
The NPI number for Jaclyn Shepard is 1932335486. It was assigned to this individual provider in the NPPES registry on June 10, 2009.
Where is Jaclyn Shepard located?
Jaclyn Shepard practices at 4 Hospital Dr, Charlottesville, VA 22908. The listed phone number is (434) 924-5314.
What is Jaclyn Shepard's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Jaclyn Shepard enrolled in Medicare?
Yes. Jaclyn 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 organization bills Medicare for Jaclyn Shepard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Shepard reassigns Medicare benefits to University Of Virginia Physicians Group (Charlottesville, VA). The 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 Jaclyn Shepard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jaclyn Shepard accept?
Health plans from Oscar Health list Jaclyn 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 Jaclyn Shepard was last updated on July 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Jaclyn Surles Shepard, PSYD · NPI 1932335486
Clinical provider in Charlottesville, Virginia. Individual provider, active in the CMS NPPES registry since June 10, 2009.
## Identity
- **NPI:** 1932335486 (Entity type: Individual)
- **Enumerated:** June 10, 2009
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 0810004538 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4 HOSPITAL DR, Charlottesville, VA 22908-0001
- **Phone:** (434) 924-5314 · **Fax:** (434) 924-0185
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Virginia Physicians Group (NPI 1033138250, Charlottesville, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** July 11, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1932335486) · Data from the CMS NPPES public registry.