Annette Ambito Shepherd, FNP-C - Medicare Nurse Practitioner in Chula Vista, CA

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Annette Ambito Shepherd, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Chula Vista, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Pouya Afshar Md Inc and her current practice location is 340 4th Ave Ste 11, Chula Vista, California. You can reach out to her office (for appointments etc.) via phone at (619) 422-6158.

Annette Ambito Shepherd is licensed to practice in California (license number 95008959) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417441130.

Contact Information

Annette Ambito Shepherd, FNP-C
340 4th Ave Ste 11,
Chula Vista, CA 91910
(619) 422-6158
Not Available

Map and Direction




Provider's Profile

Full NameAnnette Ambito Shepherd
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location340 4th Ave Ste 11, Chula Vista, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annette Ambito Shepherd graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1417441130
  • Provider Enumeration Date: 06/16/2018
  • Last Update Date: 06/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 6800130576
  • Enrollment ID: I20181206001720

Medical Identifiers

Medical identifiers for Annette Ambito Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417441130NPI-NPPES
95008959OtherCACALIFORNIA BOARD OF NURSING NURSE PRACTITIONER CERTIFICATE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95008959 (California)Secondary
363LP2300XNurse Practitioner - Primary Care 95008959 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pouya Afshar Md Inc155765633716

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Annette Ambito Shepherd allows following entities to bill medicare on her behalf.
Entity NameMolina Healthcare Of California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194811760
PECOS PAC ID: 7517957608
Enrollment ID: O20061101000348
Entity NamePouya Afshar Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710336094
PECOS PAC ID: 1557656337
Enrollment ID: O20160817002904

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annette Ambito Shepherd is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Annette Ambito Shepherd, FNP-C
340 4th Ave Ste 11,
Chula Vista, CA 91910-3813

Ph: (619) 422-6158		Annette Ambito Shepherd, FNP-C
340 4th Ave Ste 11,
Chula Vista, CA 91910

Ph: (619) 422-6158

Reviews and Comments


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Allison Marie Davies-uppal, PMHNP
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Sarah Ju Young Keum, NP
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Phone: 619-427-8892    Fax: 619-422-7660

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.