KELSEY SHEPPARD (PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1225792179

KELSEY SHEPPARD (PMHNP-BC) is a healthcare provider. based in Beaumont, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC. They hold a License No. 1056685 (TX). The NPI Number for KELSEY SHEPPARD (PMHNP-BC) is 1225792179

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
KELSEY SHEPPARD (PMHNP-BC)
NPI
1225792179
Phone
Not provided
Address
3250 FANNIN ST
Enumeration Date
27 October 2021
Last Update Date
22 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4092127000
Graduation Year
2021 (5 years ago)
PAC ID
8729479373
Group Practice PAC ID
0547333890
Professional Enrollment ID
I20211215002569
Address ID
TX777013903BE3250XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for KELSEY SHEPPARD (PMHNP-BC)

  • 3250 FANNIN ST

    BEAUMONT, TX 777013903

    Phone:

    Mailing address matches the actual address.

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 $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($95).

Total Amount

$127

General + Research + Ownership

Payments

2

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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: 2021-12-15

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
I20211215002569INurse PractitionerTXTBD

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
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes3817$0
99238Hospital discharge day management, 30 minutes or less1111$0
View full utilization report →

Insurance plans in this area (ZIP 77701)

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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: 0547333890View full group profile
NameSpecialtyState
Nurse PractitionerTX
Family PracticeTX
Nurse PractitionerTX
General SurgeryGA
Diagnostic RadiologyNE
-TX
Internal MedicineTX
A N E S T H E S I O L O G YTX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX

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Frequently asked questions

Does KELSEY SHEPPARD (PMHNP-BC) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — KELSEY SHEPPARD (PMHNP-BC) uses 1225792179.
Does the file indicate KELSEY SHEPPARD (PMHNP-BC) is practicing under active NPI?
Directory data currently reports KELSEY SHEPPARD (PMHNP-BC) as active.
What taxonomy line describes KELSEY SHEPPARD (PMHNP-BC)?
For research purposes, treat KELSEY SHEPPARD (PMHNP-BC) as Psychiatric/Mental Health Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is KELSEY SHEPPARD (PMHNP-BC) based?
KELSEY SHEPPARD (PMHNP-BC) is tied to Beaumont, Texas in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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