LAUREL B SHEPPARD (FNP) – Family Nurse Practitioner, NPI 1407802341

LAUREL B SHEPPARD (FNP) is a healthcare provider. based in Gresham, Oregon. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. 10007961 (OR). The NPI Number for LAUREL B SHEPPARD (FNP) is 1407802341

Main info

Female
25 Years Of Experience
Accepts Medicare Assignment
Name
LAUREL B SHEPPARD (FNP)
NPI
1407802341
Phone
(207) 666-6575
Address
4101 NE DIVISION ST
Enumeration Date
25 May 2006
Last Update Date
7 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2001 (25 years ago)
PAC ID
7810956059
Professional Enrollment ID
I20251013003718
Address ID
CA945011078Al1080XPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,366 NURSE PRACTITIONER in OR

Provider Addresses for LAUREL B SHEPPARD (FNP)

  • 4101 NE DIVISION ST

    GRESHAM, OR 970304617

    Phone: (207) 666-6575

    Type: Mailing

  • Decary Hall, 11, Hills Beach Road, Hills Beach, Biddeford, York County, Maine, 04005, United States

    BIDDEFORD, ME 040059526

    Phone: (207) 602-2358

    Fax: (207) 602-5904

    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: 2025-10-13

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
I20251013003718INurse PractitionerORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97030)

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Reviews

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Frequently asked questions

Does LAUREL B SHEPPARD (FNP) have a public NPI I can cite?
Public records show LAUREL B SHEPPARD (FNP) under NPI 1407802341.
Quick check: is LAUREL B SHEPPARD (FNP) active?
Public NPPES data shows LAUREL B SHEPPARD (FNP) with an active NPI status right now.
What type of care does LAUREL B SHEPPARD (FNP) provide?
LAUREL B SHEPPARD (FNP)'s profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is LAUREL B SHEPPARD (FNP) tied to Gresham, Oregon?
If you are local to Gresham, Oregon, LAUREL B SHEPPARD (FNP) may be relevant to your search.
Who maintains LAUREL B SHEPPARD (FNP)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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