CASSANDRA LATASHA SHEPARD (FNP) – Nurse Practitioner, NPI 1144748898

CASSANDRA LATASHA SHEPARD (FNP) is a healthcare provider. based in Shelby, Mississippi. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 902006 (MS). The NPI Number for CASSANDRA LATASHA SHEPARD (FNP) is 1144748898

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
CASSANDRA LATASHA SHEPARD (FNP)
NPI
1144748898
Phone
(731) 394-1145
Address
1108 Church St
Enumeration Date
1 September 2017
Last Update Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6625458467
Graduation Year
2016 (10 years ago)
PAC ID
6800153867
Professional Enrollment ID
I20171129000700
Address ID
MS387322744CL140XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,566 NURSE PRACTITIONER in MS

Provider Addresses for CASSANDRA LATASHA SHEPARD (FNP)

  • 1108 Church St

    Shelby, MS 387742200

    Phone: (731) 394-1145

    Type: Location

  • 112, West Peeler Avenue, Shaw, Bolivar County, Mississippi, 38773, United States

    SHAW, MS 387738710

    Phone: (662) 754-3301

    Type: Location

  • 1500, North Bayou Road, Cleveland, Bolivar County, Mississippi, 38732, United States

    CLEVELAND, MS 387329723

    Phone: (662) 721-8036

    Type: Mailing

  • 140 NORTH ST

    CLEVELAND, MS 387322744

    Phone: (662) 545-4674

    Fax: (662) 545-4715

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $81.

Total Amount is formed as General ($81) + Research ($0) + Ownership ($0) = $81.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($48).

Total Amount

$81

General + Research + Ownership

Payments

5

Total payment records

General Amount

$81

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2017-11-29

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
I20171129000700INurse PractitionerMSTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes9033$0
36415Insertion of needle into vein for collection of blood sample4118$0
99213Established patient office or other outpatient visit, 20-29 minutes3822$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month2711$0
View full utilization report →

Insurance plans in this area (ZIP 38774)

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Reviews

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Frequently asked questions

How do payers reference CASSANDRA LATASHA SHEPARD (FNP)?
For CASSANDRA LATASHA SHEPARD (FNP), use NPI 1144748898 as the unique 10-digit identifier.
Is CASSANDRA LATASHA SHEPARD (FNP) shown as active in public data?
Registry records indicate CASSANDRA LATASHA SHEPARD (FNP) maintains an active NPI.
How would a patient describe CASSANDRA LATASHA SHEPARD (FNP)'s focus?
For CASSANDRA LATASHA SHEPARD (FNP), the primary taxonomy reads as Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What locale is associated with CASSANDRA LATASHA SHEPARD (FNP)?
Directory geography for CASSANDRA LATASHA SHEPARD (FNP) centers on Shelby, Mississippi.
Can I trust this NPI listing for CASSANDRA LATASHA SHEPARD (FNP)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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