DR. LAQUITA ANN SHEPHERD (MD) – Family Medicine Physician, NPI 1063483998

DR. LAQUITA ANN SHEPHERD (MD) is a healthcare provider. based in Dallas, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. H4698 (TX). The NPI Number for DR. LAQUITA ANN SHEPHERD (MD) is 1063483998

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
DR. LAQUITA ANN SHEPHERD (MD)
NPI
1063483998
Phone
(214) 932-6189
Address
610 E Jefferson Blvd
Enumeration Date
30 January 2006
Last Update Date
1 May 2019

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
9722305601
Graduation Year
1987 (39 years ago)
PAC ID
2062691819
Group Practice PAC ID
4880968353
Professional Enrollment ID
I20110125000988
Address ID
TX752373767DA8067XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,705 FAMILY PRACTICE in TX

Provider Addresses for DR. LAQUITA ANN SHEPHERD (MD)

  • 610 E Jefferson Blvd

    STE #100

    Dallas, TX 752032750

    Phone: (214) 932-6189

    Type: Location

  • North Belt Line Road, Mesquite, Dallas County, Texas, 75149, United States

    MESQUITE, TX 751491770

    Phone: (972) 686-1234

    Fax: (972) 686-9000

    Type: Mailing

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 $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: ABBVIE INC. ($25).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2011-01-25

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
I20110125000988IFamily PracticeTXTBD

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 75203)

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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: 4880968353View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeCA
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is there an official ID for DR. LAQUITA ANN SHEPHERD (MD) in U.S. healthcare records?
The official identifier for DR. LAQUITA ANN SHEPHERD (MD) is NPI 1063483998.
Is DR. LAQUITA ANN SHEPHERD (MD) still an active registrant?
DR. LAQUITA ANN SHEPHERD (MD) carries an active NPI according to the public dataset.
How would a patient describe DR. LAQUITA ANN SHEPHERD (MD)'s focus?
For DR. LAQUITA ANN SHEPHERD (MD), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. LAQUITA ANN SHEPHERD (MD)?
Directory geography for DR. LAQUITA ANN SHEPHERD (MD) centers on Dallas, Texas.
Does DR. LAQUITA ANN SHEPHERD (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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