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Alice Lyn Shepard , PNP-BC

Nurse Practitioner - Pediatrics β€’ Eglin Afb, FL

Active NPI 1629333208 Individual Practitioner Female Practitioner
Practice location in NPPES

307 Boatner Rd Ste 114
Eglin Afb, FL 32542

Call 8508838550 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

307 Boatner Rd Ste 114

Eglin Afb, FL 32542

Telephone 8508838550
Organization at the Same NPPES Address or Phone
55th Medical Group Sgsl Facility NPI 1194824524

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Can order Medicare-covered services

CMS lists Alice Shepard as eligible to order or refer durable medical equipment (DME) for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Eglin Afb and Florida

3 active clinicians are listed under Nurse Practitioner - Pediatrics with a practice address in Eglin Afb, FL (1,547 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-06-14
Nurse Practitioner - Pediatrics Primary Specialty

NUCC Taxonomy Code: 363LP0200X

License # reported to NPPES TX AP130674
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Amber Allen , DO, MS

Obstetrics & Gynecology

NPI 1821445396

Doctor of Osteopathic Medicine (D.O.), Master of Science

NPI 1427439165

Doctor of Medicine (M.D.)

Terri Anderson , PA-C

Physician Assistant - Surgical

NPI 1902896848

Physician Assistant (Certified)

Brandy Arrol , FNP

Nurse Practitioner - Family

NPI 1073804472

Family Nurse Practitioner

Dr. Rhoda Lyn Aure , MD

Internal Medicine - Nephrology

NPI 1851554166

Doctor of Medicine (M.D.)

Christi Bader , RN

Nurse Practitioner

NPI 1487279659

Registered Nurse

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Business Mailing Address June 28, 2023

Registered at 2501 CAPEHART RD, BELLEVUE, NE 68123 (Tel: 4022946077)

πŸ“
Updated Practice Location August 03, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 32542 (Tel: 8508838550)

πŸ“
Updated Business Mailing Address August 03, 2018

Registered at 307 BOATNER RD STE 114, EGLIN AFB, FL 325421302 (Tel: 8508838550)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 03, 2018

Nurse Practitioner (license number reported to NPPES: TX AP130674)

βœ…
NPI Profile Active July 10, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 10, 2012

Registered at 431 MEADOWLARK ST, SHAW A F B, SC 291525019 (Tel: 8038956550)

πŸ“
Business Mailing Address (Initial Record) July 10, 2012

Registered at 431 MEADOWLARK ST, SHAW A F B, SC 291525019 (Tel: 8038956550)

πŸ‘€
Provider Name / Credentials (Initial Record) July 10, 2012

Recorded as ALICE SHEPARD, PNP-BC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 10, 2012

Nurse Practitioner (license number reported to NPPES: WA 60299029)

🟒
Initial NPI Registration & Enumeration July 10, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1629333208
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 10, 2012
Last Update: June 28, 2023
Sole Proprietor: No

Mailing Address

2501 Capehart Rd

Bellevue, NE 68123

Phone: 4022946077

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.