JEANNINE ELIZABETH SHEPPARD (D.O.) – Psychiatry Physician, NPI 1720105109

JEANNINE ELIZABETH SHEPPARD (D.O.) is a healthcare provider. based in Centerville finance, Ohio. specializing in PSYCHIATRY. They hold the professional credentials D.O.. They hold a License No. 34 007365 (OH). The NPI Number for JEANNINE ELIZABETH SHEPPARD (D.O.) is 1720105109

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
JEANNINE ELIZABETH SHEPPARD (D.O.)
NPI
1720105109
Phone
(937) 648-7274
Address
7621 E VON DETTE CIR
Enumeration Date
23 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9373962525
Graduation Year
1998 (28 years ago)
PAC ID
8628254240
Group Practice PAC ID
1153211065
Professional Enrollment ID
I20110517000231
Address ID
OH454101122DA600XXAVEX300
Telehealth
Yes
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

1,244 PSYCHIATRY in OH

Provider Addresses for JEANNINE ELIZABETH SHEPPARD (D.O.)

  • 7621 E VON DETTE CIR

    CENTERVILLE FINANCE, OH 454595037

    Phone: (937) 648-7274

    Type: Mailing

  • 600 WAYNE AVE

    DAYTON, OH 454101122

    Phone: (937) 496-2000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 117 Open Payments records for all available years, with a total value of $3,312.

Total Amount is formed as General ($3,312) + Research ($0) + Ownership ($0) = $3,312.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($579).

Total Amount

$3,312

General + Research + Ownership

Payments

117

Total payment records

General Amount

$3,312

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

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: 2011-05-17

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
I20110517000231IPsychiatryOHTBD

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 minutes7523$0
View full utilization report →

Insurance plans in this area (ZIP 45459)

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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: 1153211065View full group profile
NameSpecialtyState
Mental Health CounselorOH
Nurse PractitionerOH
P S Y C H I A T R YOH
Clinical Social WorkerOH
Clinical Social WorkerOH
Physician AssistantGA
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

Can I use this page to confirm JEANNINE ELIZABETH SHEPPARD (D.O.)'s NPI?
Yes. JEANNINE ELIZABETH SHEPPARD (D.O.) is listed with NPI 1720105109 in the public NPI dataset.
Is JEANNINE ELIZABETH SHEPPARD (D.O.) listed as active for patients and plans?
The listing shows JEANNINE ELIZABETH SHEPPARD (D.O.) as active in the NPI system.
What taxonomy line describes JEANNINE ELIZABETH SHEPPARD (D.O.)?
For research purposes, treat JEANNINE ELIZABETH SHEPPARD (D.O.) as Psychiatry Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect JEANNINE ELIZABETH SHEPPARD (D.O.) on a map?
Expect Centerville Finance, Ohio as a primary anchor for JEANNINE ELIZABETH SHEPPARD (D.O.) unless the record lists multiple sites.
Why does JEANNINE ELIZABETH SHEPPARD (D.O.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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