ADAM LEE SHEPPARD (CRNA) – Certified Registered Nurse Anesthetist, NPI 1578896833

ADAM LEE SHEPPARD (CRNA) is a healthcare provider. based in Yukon, Oklahoma. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 71103 (OK). The NPI Number for ADAM LEE SHEPPARD (CRNA) is 1578896833

Main info

Male
17 Years Of Experience
Accepts Medicare Assignment
Name
ADAM LEE SHEPPARD (CRNA)
NPI
1578896833
Phone
Not provided
Address
508 CHEROKEE GATE DR
Enumeration Date
17 September 2009
Last Update Date
19 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057134565
Graduation Year
2009 (17 years ago)
PAC ID
2365581618
Group Practice PAC ID
5991970279
Professional Enrollment ID
I20091130000623
Address ID
OK730348864ED4801XPKWY300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

669 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in OK

Provider Addresses for ADAM LEE SHEPPARD (CRNA)

  • 508 CHEROKEE GATE DR

    YUKON, OK 730996153

    Phone:

    Type: Mailing

  • 8100 S WALKER AVE

    OKLAHOMA CITY, OK 731399475

    Phone: (405) 602-6500

    Type: Location

  • Northeast 13th Street, Oklahoma City, Oklahoma County, Oklahoma, 73117, United States

    SUITE 200

    OKLAHOMA CITY, OK 731045010

    Phone: (405) 271-4351

    Fax: (405) 271-8695

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $29.

Total Amount is formed as General ($29) + Research ($0) + Ownership ($0) = $29.

Last reported payment date: 2024-10-23 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($15).

Total Amount

$29

General + Research + Ownership

Payments

2

Total payment records

General Amount

$29

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-23

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: 2009-11-30

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
I20091130000623ICertified Registered Nurse Anesthetist (Crna)OKTBD

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
01400Anesthesia for other procedure or exam of knee joint using an endoscope1414$0
01402Anesthesia for procedure for total knee joint replacement1212$0
View full utilization report →

Insurance plans in this area (ZIP 73099)

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Provider's Procedures

ADAM LEE SHEPPARD (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETOK01402Anesthesia for open or endoscopic total knee joint replacement2727

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: 5991970279View full group profile
NameSpecialtyState
Anesthesiology AssistantOK
-OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)OK
A N E S T H E S I O L O G YMA
Anesthesiology, Critical Care (Intensivists)OK
Certified Registered Nurse Anesthetist (Crna)TX

Reviews

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Frequently asked questions

How do payers reference ADAM LEE SHEPPARD (CRNA)?
For ADAM LEE SHEPPARD (CRNA), use NPI 1578896833 as the unique 10-digit identifier.
Would ADAM LEE SHEPPARD (CRNA) appear as active to a payer?
You can treat ADAM LEE SHEPPARD (CRNA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with ADAM LEE SHEPPARD (CRNA)?
ADAM LEE SHEPPARD (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where in Oklahoma is ADAM LEE SHEPPARD (CRNA) registered?
Use Yukon, Oklahoma as the headline location for ADAM LEE SHEPPARD (CRNA) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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