JESSICA MARIE SHEPHERD (AGCNS-BC) – Clinical Nurse Specialist, NPI 1134596125

JESSICA MARIE SHEPHERD (AGCNS-BC) is a healthcare provider. based in Fayetteville, Arkansas. specializing in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). They hold the professional credentials AGCNS-BC. They hold a License No. S002300 (AR). The NPI Number for JESSICA MARIE SHEPHERD (AGCNS-BC) is 1134596125

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA MARIE SHEPHERD (AGCNS-BC)
NPI
1134596125
Phone
(479) 790-2805
Address
5061 W WAVERLY RD
Enumeration Date
26 August 2015
Last Update Date
26 August 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4799664187
Graduation Year
2015 (11 years ago)
PAC ID
9436450079
Group Practice PAC ID
0042248445
Professional Enrollment ID
I20151223001609
Address ID
AR727036398FA3900XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

44 CERTIFIED CLINICAL NURSE SPECIALIST (CNS) in AR

Provider Addresses for JESSICA MARIE SHEPHERD (AGCNS-BC)

  • 5061 W WAVERLY RD

    FAYETTEVILLE, AR 727046957

    Phone: (479) 790-2805

    Type: Mailing

  • 3900 N PARKVIEW DR

    FAYETTEVILLE, AR 727036398

    Phone: (479) 966-4187

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-12-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20151223001609ICertified Clinical Nurse Specialist (Cns)ARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98977Device supply with scheduled recording and transmission for remote monitoring of musculoskeletal system, per 30 days13568$0
98975Set-up and patient education for remote monitoring of therapy6969$0
99213Established patient office or other outpatient visit, 20-29 minutes3331$0
20610Aspiration and/or injection of fluid from large joint1914$0
73560X-ray of knee, 1-2 views1412$0
View full utilization report →

Insurance plans in this area (ZIP 72704)

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Provider's Procedures

JESSICA MARIE SHEPHERD (AGCNS-BC) performs procedures in CERTIFIED CLINICAL NURSE SPECIALIST (CNS). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED CLINICAL NURSE SPECIALISTAR20610Aspiration and/or injection of large joint or joint capsule4639

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042248445View full group profile
NameSpecialtyState
Orthopedic SurgeryAR
-AR
Physician AssistantAR
Physical Medicine And RehabilitationAR
Physical Therapist In Private PracticeAR
-AR
Physician AssistantAR
Physical Therapist In Private PracticeAR
Orthopedic SurgeryAR
Orthopedic SurgeryAR

Reviews

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Frequently asked questions

What is the registry number for JESSICA MARIE SHEPHERD (AGCNS-BC)?
The registry entry for JESSICA MARIE SHEPHERD (AGCNS-BC) shows NPI 1134596125.
Is JESSICA MARIE SHEPHERD (AGCNS-BC) currently accepting referrals based on NPI status?
Registry metadata lists JESSICA MARIE SHEPHERD (AGCNS-BC) as active.
Which specialty label fits JESSICA MARIE SHEPHERD (AGCNS-BC)?
NPPES ties JESSICA MARIE SHEPHERD (AGCNS-BC) to Clinical Nurse Specialist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit JESSICA MARIE SHEPHERD (AGCNS-BC) in Fayetteville, Arkansas?
For routing, start with Fayetteville, Arkansas for JESSICA MARIE SHEPHERD (AGCNS-BC), then verify phone and hours locally.
Why is information missing for JESSICA MARIE SHEPHERD (AGCNS-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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