Michelle R Shepherd, PMHNP-BC - Medicare Nurse Practitioner in Moline, IL

Michelle R Shepherd, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Moline, Illinois. 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 The Robert Young Center For Community Mental Health, The Robert Young Center For Community Mental Health and her current practice location is 4600 3rd St, Moline, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 779-2031.

Michelle R Shepherd is licensed to practice in Iowa (license number G154523) 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 1114571445.

Contact Information

Michelle R Shepherd, PMHNP-BC
4600 3rd St,
Moline, IL 61265-6106
(309) 779-2031
Not Available

Map and Direction




Provider's Profile

Full NameMichelle R Shepherd
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location4600 3rd St, Moline, Illinois
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:
  • Michelle R Shepherd graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1114571445
  • Provider Enumeration Date: 07/25/2019
  • Last Update Date: 07/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4385073808
  • Enrollment ID: I20200405000349

Medical Identifiers

Medical identifiers for Michelle R Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114571445NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 209019382 (Illinois)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health G154523 (Iowa)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Robert Young Center For Community Mental Health458760015037
The Robert Young Center For Community Mental Health458760015037

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. Michelle R Shepherd allows following entities to bill medicare on her behalf.
Entity NameTrinity Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033163829
PECOS PAC ID: 2264337518
Enrollment ID: O20040217000414
Entity NameThe Robert Young Center For Community Mental Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730685389
PECOS PAC ID: 4587600150
Enrollment ID: O20211208003044

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. Michelle R 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
Michelle R Shepherd, PMHNP-BC
2001 Canal Shore Dr Sw,
Le Claire, IA 52753-9564

Ph: () -
Michelle R Shepherd, PMHNP-BC
4600 3rd St,
Moline, IL 61265-6106

Ph: (309) 779-2031

Reviews and Comments


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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.