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Active NPI 1366164212 Individual Practitioner Male Practitioner

Nicholas Wayne Shepherd , PA

Physician Assistant - Surgical • Mount Vernon, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicholas Shepherd, PA is a certified Physician Assistant - Surgical practicing in Mount Vernon, WA. With approximately 4 years of clinical experience since completing medical education in 2022, Nicholas Shepherd delivers high-quality medical care to the local community at 2320 FREEWAY DR.

Nicholas Shepherd is affiliated with Public Hospital Dist No 1 Skagit and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2320 Freeway Dr

Mount Vernon, WA 982735445

Telephone 3608146800
Fax 3608146953
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant - Surgical in Mount Vernon, WA

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -5.7 yrs vs City Avg
City Avg: 9.7 Yrs
State Avg: 13.2 Yrs
Regional Practice Density
33 Specialists

Practicing in Mount Vernon, WA (612 Statewide)

Telehealth Adoption Rate
27.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
84.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shepherd (4 Years) 4 Yrs
Mount Vernon Specialty Average (9.7 Years) 9.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
68 46 $96.00 $54.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
23 23 $117.00 $65.74
20610 Aspiration and/or injection of fluid from large joint
19 12 $90.79 $43.49
27130 Replacement of thigh bone and hip joint with prosthesis
15 15 $1820.65 $171.65

Medical Specialties & State Licenses

CMS Verified: 2022-11-18
Physician Assistant - Surgical Primary Specialty

NUCC Taxonomy Code: 363AS0400X

State License WA PA61352920

Definition to come...

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License WA PA61352920

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.

Hospital & Practice Group Affiliations

Public Hospital Dist No 1 Skagit

1400 E Kincaid St, Mount Vernon, WA 982744127

Public Hospital Dist No 1 Skagit

1400 E Kincaid St, Mount Vernon, WA 982744127

Phone: 3604282500

Public Hospital Dist No 1 Skagit

1415 E Kincaid St, Mount Vernon, WA 982744126

Phone: 3604165750

Public Hospital Dist No 1 Skagit

211 S 13th St, Mount Vernon, WA 982744107

Phone: 3608145900

Secondary Practice Locations

1400 E Kincaid St

Mount Vernon, WA 982744127

Phone: 3604282550

Practice Associates & Co-Workers

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

22 Associated Practitioners
Kent Fry , PA-C

Physician Assistant - Surgical

NPI 1013217751

Physician Assistant (Certified)

Cara Walker , PA-C

Physician Assistant - Surgical

NPI 1013329531

Physician Assistant (Certified)

Dr. David Mourning , MD

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1033150420

Doctor of Medicine (M.D.)

Ashton De Cardenas , PA-C

Physician Assistant - Surgical

NPI 1033688981

Physician Assistant (Certified)

Erin Schaner , PA-C

Physician Assistant - Surgical

NPI 1063255248

Physician Assistant (Certified)

Dr. Alexander Willis , MD

Orthopaedic Surgery

NPI 1073878088

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 18, 2022

Registered at 2320 FREEWAY DR, MOUNT VERNON, WA 982735445 (Tel: 3608146800)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2022

Physician Assistant (License #PA61352920 in WA)

NPI Profile Active September 16, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location September 16, 2022

Registered at 1400 E KINCAID ST, MOUNT VERNON, WA 982744127 (Tel: 3604282550)

📍
Updated Business Mailing Address September 16, 2022

Registered at 1400 E KINCAID ST, MOUNT VERNON, WA 982744127

👤
Provider Name / Credentials Updated September 16, 2022

Recorded as NICHOLAS SHEPHERD, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2022

Orthopaedic Surgery (License #PA.PA.61352920 in WA)

🟢
Initial NPI Registration & Enumeration September 16, 2022

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: 1366164212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 16, 2022
Last Update: November 18, 2022
Sole Proprietor: No

Mailing Address

1400 E Kincaid St

Mount Vernon, WA 982744127

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.