Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831173079 Individual Practitioner Female Practitioner

Beverly Shepard , NP

Nurse Practitioner • Watertown, NY

Professional Overview & Biography Verified Profile Summary

Beverly Shepard, NP is a registered healthcare professional specializing in Nurse Practitioner in Watertown, NY. Practice services are available at 1571 WASHINGTON ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1571 Washington St
Suite 201

Watertown, NY 136019304

Telephone 3157821650
Fax 3157888547
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Watertown, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 3.7 Yrs
State Avg: 13.6 Yrs
Regional Practice Density
10 Specialists

Practicing in Watertown, NY (3155 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License NY F330120

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
02284366 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

23 Associated Practitioners
Allison Vespa , PT

Physical Therapist

NPI 1033192729

Physical Therapist

Christopher Mueller , PA-C

Physician Assistant

NPI 1053676114

Physician Assistant (Certified)

Dr. Steven Fish , MD

Orthopaedic Surgery

NPI 1114900271

Doctor of Medicine (M.D.)

NPI 1124001995

Doctor of Medicine (M.D.)

Barratt Schultz , MPAS, PA-C

Physician Assistant

NPI 1184882243

MPAS, Physician Assistant (Certified)

Dr. David Vaneenenaam , MD

Orthopaedic Surgery

NPI 1205818812

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 18, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location October 18, 2007

Registered at 1571 WASHINGTON ST, SUITE 201, WATERTOWN, NY 136019304 (Tel: 3157821650)

📍
Updated Business Mailing Address October 18, 2007

Registered at 1571 WASHINGTON ST, SUITE 201, WATERTOWN, NY 136019304 (Tel: 3157821650)

👤
Provider Name / Credentials Updated October 18, 2007

Recorded as BEVERLY SHEPARD, N.P.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2007

Nurse Practitioner (License #F330120 in NY)

🟢
Initial NPI Registration & Enumeration December 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831173079
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 01, 2005
Last Update: October 18, 2007
Sole Proprietor: No

Mailing Address

1571 Washington St, Suite 201

Watertown, NY 136019304

Phone: 3157821650

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.