DR. VANCE LEE SHEPPERSON (PHD) – Clinical Psychologist, NPI 1437217445

DR. VANCE LEE SHEPPERSON (PHD) is a healthcare provider. based in Kailua kona, Hawaii. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. PSY 6775 (CA). The NPI Number for DR. VANCE LEE SHEPPERSON (PHD) is 1437217445

Main info

Male
49 Years Of Experience
Accepts Medicare Assignment
Name
DR. VANCE LEE SHEPPERSON (PHD)
NPI
1437217445
Phone
(808) 329-7176
Address
PO BOX 4938
Enumeration Date
4 December 2006
Last Update Date
13 July 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8089361998
Graduation Year
1977 (49 years ago)
PAC ID
4284778440
Group Practice PAC ID
2163618190
Professional Enrollment ID
I20180801002999
Address ID
HI967402237KA76622HWYX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,434 CLINICAL PSYCHOLOGIST in CA

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Provider Addresses for DR. VANCE LEE SHEPPERSON (PHD)

  • PO BOX 4938

    KAILUA KONA, HI 967454938

    Phone: (808) 329-7176

    Fax: (808) 326-1279

    Type: Mailing

  • 1619, East Chapman Avenue, Fullerton, Orange County, California, 92831, United States

    FULLERTON, CA 928313132

    Phone: (714) 992-4240

    Fax: (714) 992-5259

    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: 2018-08-01

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
I20180801002999IClinical PsychologistHITBD

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
96133Evaluation of neuropsychological test, each additional hour2413$0
96130Evaluation of psychological test, first hour1514$0
90791Psychiatric diagnostic evaluation1413$0
96132Evaluation of neuropsychological test, first hour1413$0
96136Administration of psychological or neuropsychological test, first 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 96745)

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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: 2163618190View full group profile
NameSpecialtyState
Clinical PsychologistHI

Reviews

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Frequently asked questions

Does DR. VANCE LEE SHEPPERSON (PHD) have a public NPI I can cite?
Public records show DR. VANCE LEE SHEPPERSON (PHD) under NPI 1437217445.
Is DR. VANCE LEE SHEPPERSON (PHD)'s NPI status active today?
Active status means DR. VANCE LEE SHEPPERSON (PHD)'s NPI record is not deactivated in the public file.
How should patients interpret DR. VANCE LEE SHEPPERSON (PHD)'s specialty?
The extract shows Clinical Psychologist for DR. VANCE LEE SHEPPERSON (PHD). Clinical services aligned with this taxonomy classification.
Is DR. VANCE LEE SHEPPERSON (PHD) tied to Kailua Kona, Hawaii?
If you are local to Kailua Kona, Hawaii, DR. VANCE LEE SHEPPERSON (PHD) may be relevant to your search.
Why is information missing for DR. VANCE LEE SHEPPERSON (PHD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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