Active NPI 1609855410 Individual Practitioner Female Practitioner

Serena E. Sheppard , ARNP

Nurse Practitioner • Ada, OK

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Serena Sheppard, ARNP is a certified Nurse Practitioner practicing in Ada, OK. With approximately 22 years of clinical experience since completing medical education in 2004, Serena Sheppard delivers high-quality medical care to the local community at 1921 STONECIPHER BLVD.

Serena Sheppard is affiliated with Chickasaw Nation Division Of Health and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection beneath the skin or into muscle for therapy, diagnosis, or prevention, injection, dexamethasone sodium phosphate, 1 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1921 Stonecipher Blvd

Ada, OK 748203439

Telephone 5803105687

Associated Practice Facility / Clinic

🏢 Chickasaw Nation Division Of Health Facility NPI 1255364923

Medicare Profile & Education

Medical School

Other

Graduation Year

2004

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Ada, OK

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

22 Yrs +8.3 yrs vs City Avg

City Avg: 13.7 Yrs

State Avg: 11.4 Yrs

Regional Practice Density

21 Specialists

Practicing in Ada, OK (715 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheppard (22 Years) 22 Yrs

Ada Specialty Average (13.7 Years) 13.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	22	21	$230.91	$53.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$180.00	$54.59
99213 Established patient office or other outpatient visit, typically 15 minutes	12	12	$180.00	$52.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	80	76	$114.93	$56.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$223.08	$86.37
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	23	16	$22.00	$10.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	245	210	$122.36	$53.75
J1100 Injection, dexamethasone sodium phosphate, 1 mg	108	25	$0.15	$0.12
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	58	26	$22.00	$13.26
J1040 Injection, methylprednisolone acetate, 80 mg	28	25	$31.00	$12.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	24	$260.00	$60.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	212	169	$104.61	$57.05
J1100 Injection, dexamethasone sodium phosphate, 1 mg	70	18	$0.15	$0.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	44	25	$22.00	$16.17
J1040 Injection, methylprednisolone acetate, 80 mg	19	19	$31.00	$12.37

Medical Specialties & State Licenses

CMS Verified: 2020-07-14

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License OK R0067512

(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.

Hospital & Practice Group Affiliations

Chickasaw Nation Division Of Health

1921 Stonecipher Dr, Ada, OK 748203439

Phone: 5804363980

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Timothy Brown , DPT

Physical Therapist

NPI 1073947768

Doctor of Physical Therapy

Amy Stepp , LPN

Licensed Practical Nurse

NPI 1417581109

Licensed Practical Nurse

Career & Practice History Timeline

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

15 Historical Events

📍

Updated Practice Location July 14, 2020

Registered at 1921 STONECIPHER BLVD, ADA, OK 748203439 (Tel: 5803105687)

👤

Provider Name / Credentials Updated July 14, 2020

Recorded as SERENA SHEPPARD, ARNP

👤

Provider Name / Credentials Updated April 20, 2020

Recorded as SERENA BLACK, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2020

Nurse Practitioner (License #R0067512 in OK)

✅

NPI Profile Active January 09, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 09, 2018

Registered at 817 E 6TH ST, TISHOMINGO, OK 734601800 (Tel: 5803712362)

📍

Updated Business Mailing Address January 09, 2018

Registered at 1921 STONECIPHER BLVD, ADA, OK 748203439 (Tel: 5804214570)

👤

Provider Name / Credentials Updated January 09, 2018

Recorded as SERENA BLACK-SHEPPARD, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2018

Physician Assistant (License #R0067512 in OK)

✅

NPI Profile Active January 06, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 06, 2015

Registered at 817 E 6TH ST, TISHOMINGO, OK 734601800 (Tel: 5803712362)

📍

Updated Business Mailing Address January 06, 2015

Registered at 1921 STONECIPHER BLVD, ADA, OK 748203439 (Tel: 5804214570)

👤

Provider Name / Credentials Updated January 06, 2015

Recorded as SERENA BLACK, ARNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 06, 2015

Physician Assistant (License #R0067512 in OK)

🟢

Initial NPI Registration & Enumeration January 10, 2006

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: 1609855410

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 10, 2006

Last Update: July 14, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1921 Stonecipher Blvd

Ada, OK 748203439

Phone: 5803105687

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.