DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) – Family Nurse Practitioner, NPI 1225545254

DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) is a healthcare provider. based in Winooski, Vermont. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, APRN, FNP-BC. They hold a License No. RN2380491 (MA). The NPI Number for DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) is 1225545254

Main info

Male
3 Years Of Experience
Name
DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC)
NPI
1225545254
Phone
(907) 952-1680
Address
80 WINOOSKI FALLS WAY UNIT 210
Enumeration Date
29 December 2017
Last Update Date
24 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5085400200
Graduation Year
2023 (3 years ago)
PAC ID
8729523469
Group Practice PAC ID
3577471564
Professional Enrollment ID
I20240717002632
Address ID
MA025405119FA360XXSTXX302
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:8State licenses:3Digital endpointsOther names

721 NURSE PRACTITIONER in VT

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Provider Addresses for DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC)

  • Winooski Falls Way, Winooski, Chittenden County, Vermont, 05404, United States

    WINOOSKI, VT 054042278

    Phone: (907) 952-1680

    Type: Mailing

  • Burlington Health & Rehabilitation Center, 300, Pearl Street, North hill section, Burlington, Chittenden County, Vermont, 05401, United States

    BURLINGTON, VT 054018531

    Phone: (802) 658-4200

    Type: Location

  • 360 GIFFORD ST

    FALMOUTH, MA 025405119

    Phone: (508) 457-4900

    Type: Mailing

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: 2024-07-17

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
I20240717002632INurse PractitionerMATBD

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 05404)

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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: 3577471564View full group profile
NameSpecialtyState
E N D O C R I N O L O G YMA
Nurse PractitionerMA
Physician AssistantMA
Internal Medicine, Cardiovascular Disease (Cardiology)MA
Family PracticeMA
Internal MedicineMA
Thoracic Surgery, General SurgeryMA
-MA
N E U R O S U R G E R YMA
-NV

Reviews

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Frequently asked questions

What number should I use to identify DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) for billing?
Administrative and clinical systems typically use NPI 1225545254 for DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC).
Is DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) currently accepting referrals based on NPI status?
Registry metadata lists DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) as active.
Which specialty label fits DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC)?
NPPES ties DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC)?
The directory associates DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC) with Winooski, Vermont. Check all listed addresses for suites or satellite offices.
Why is information missing for DR. PATRICK ROBERT SHEPARD (DNP, APRN, FNP-BC)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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