Carissa Shepherd, NP | |
118 S Meridian St, Greentown, IN 46936-1401 | |
(765) 628-7041 | |
(765) 628-6012 |
Full Name | Carissa Shepherd |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 18 Years |
Location | 118 S Meridian St, Greentown, Indiana |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083756829 | NPI | - | NPPES |
200851000 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 71002240 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Elara Caring | Kokomo, IN | Home health agency |
Community Howard Regional Health Inc. | Kokomo, IN | Hospital |
Ascension St Vincent Kokomo | Kokomo, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Physicians Of Indiana Inc | 1759416662 | 1292 |
Entity Name | Community Physicians Of Indiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619105244 PECOS PAC ID: 1759416662 Enrollment ID: O20100317000717 |
Mailing Address | Practice Location Address |
---|---|
Carissa Shepherd, NP 6626 E 75th St, Suite 500, Indianapolis, IN 46250-2890 Ph: () - | Carissa Shepherd, NP 118 S Meridian St, Greentown, IN 46936-1401 Ph: (765) 628-7041 |
Breanna Kay Hostetler, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 118 S Meridian St, Greentown, IN 46936 Phone: 765-776-3030 Fax: 765-453-8040 | |
Alexis Renae Hodupp, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 115 W Main St, Greentown, IN 46936 Phone: 765-627-4003 |