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Active NPI 1225963267 Individual Practitioner Male Practitioner

Nathaniel Leif Shepard

Physician Assistant • Ardmore, OK

Professional Overview & Biography Verified Profile Summary

Nathaniel Shepard is a registered healthcare professional specializing in Physician Assistant in Ardmore, OK. Practice services are available at 1235 12TH AVE NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1235 12th Ave Nw

Ardmore, OK 734011578

Telephone 5802220400
Associated Practice Facility / Clinic
🏢 Oklahoma City Vamc Facility NPI 1780635128

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Ardmore, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.3 Yrs
State Avg: 14.2 Yrs
Regional Practice Density
21 Specialists

Practicing in Ardmore, OK (1911 Statewide)

Telehealth Adoption Rate
14.3% 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

CMS Verified: 2026-06-12
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Gracelyn Spears , APRN, CNP

Nurse Practitioner - Family

NPI 1205377132

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Justin Druskis , PA-C

Physician Assistant

NPI 1821988866

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 12, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 12, 2026

Registered at 1235 12TH AVE NW, ARDMORE, OK 734011578 (Tel: 5802220400)

📍
Updated Business Mailing Address June 12, 2026

Registered at 1235 12TH AVE NW, ARDMORE, OK 734011578 (Tel: 5802220400)

👤
Provider Name / Credentials Updated June 12, 2026

Recorded as NATHANIEL SHEPARD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 12, 2026

Physician Assistant

🟢
Initial NPI Registration & Enumeration June 12, 2026

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: 1225963267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 12, 2026
Last Update: June 12, 2026
Sole Proprietor: No

Mailing Address

1235 12th Ave Nw

Ardmore, OK 734011578

Phone: 5802220400

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.