SELENA SHEPPARD (PA-C) – Physician Assistant, NPI 1295491041
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,069 PHYSICIAN ASSISTANT in MI
Provider Addresses for SELENA SHEPPARD (PA-C)
620 N PONTIAC TRL
WALLED LAKE, MI 483903448
Phone: (248) 624-4511
Type: Mailing
32836 LIPAROTO DR
ROCKWOOD, MI 481739667
Phone: (313) 598-9262
Type: Mailing
1012 W HURON ST
WATERFORD, MI 483283730
Phone: (248) 681-1880
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $363.
Total Amount is formed as General ($363) + Research ($0) + Ownership ($0) = $363.
Last reported payment date: 2024-10-16 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($180).
Total Amount
$363
General + Research + Ownership
Payments
19
Total payment records
General Amount
$363
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-03-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20220314000239 | I | Physician Assistant | MI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 163 | 117 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 33 | 31 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 21 | 14 | $0 |
| 81003 | Automated urinalysis test | 19 | 15 | $0 |
| 83037 | Hemoglobin a1c level, by device for home use | 14 | 11 | $0 |
Insurance plans in this area (ZIP 48390)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | MI | |
| Family Practice, General Practice | MI | |
| Family Practice | MI | |
| Internal Medicine | MI | |
| Orthopedic Surgery | MI | |
| Physician Assistant | MI | |
| Infectious Disease, Internal Medicine | ME | |
| Diagnostic Radiology | MI | |
| Family Practice | MI | |
| Nurse Practitioner | MI |
Reviews
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