STEPHANIE ANNE SHEPARD (PA) – Physician Assistant, NPI 1396705174

STEPHANIE ANNE SHEPARD (PA) is a healthcare provider. based in Fairfax, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA18335 (CA). The NPI Number for STEPHANIE ANNE SHEPARD (PA) is 1396705174

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANNE SHEPARD (PA)
NPI
1396705174
Phone
(703) 698-2431
Address
2700 Prosperity Ave Ste 270
Enumeration Date
24 March 2006
Last Update Date
21 December 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2405877275
Graduation Year
2005 (21 years ago)
PAC ID
0749290435
Professional Enrollment ID
I20151230000918
Address ID
MD20636XXXXHOXXXXXXXXXX00
Telehealth
Yes

Contacts

Secure Messaging
sshepard654634@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience87
Completeness85
Years active:20State licenses:3Other namesUpdated within 12 months

4,429 PHYSICIAN ASSISTANT in VA

Provider Addresses for STEPHANIE ANNE SHEPARD (PA)

  • 2700 Prosperity Ave Ste 270

    Fairfax, VA 220314321

    Phone: (703) 698-2431

    Type: Location

  • PO BOX 37174

    BALTIMORE, MD 212973174

    Phone: (571) 423-5699

    Fax: (571) 423-5698

    Type: Mailing

  • 8260 WILLOW OAKS CORPORATE DR STE 650

    FAIRFAX, VA 220314531

    Phone: (703) 776-2000

    Fax: (571) 665-6797

    Type: Location

  • Prosperity Avenue, Merrifield, Fairfax County, Virginia, 22031, United States

    FAIRFAX, VA 220314321

    Phone: (703) 698-2431

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $35.

Total Amount is formed as General ($35) + Research ($0) + Ownership ($0) = $35.

Last reported payment date: 2024-07-18 • Largest payer in this snapshot: Smith+Nephew, Inc. ($35).

Total Amount

$35

General + Research + Ownership

Payments

1

Total payment records

General Amount

$35

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-18

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Smith+Nephew, Inc.$35
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: 2015-12-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20100603000696IPhysician AssistantDCTBD
I20151230000918IPhysician AssistantMDTBD

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
99350Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes379115$0
99349Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes17482$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4646$0
99345Residence visit for new patient with high level of medical decision making, per day, if using time, at least 75 minutes4545$0
99491Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month4023$0
View full utilization report →

Insurance plans in this area (ZIP 22031)

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Reviews

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Frequently asked questions

Is STEPHANIE ANNE SHEPARD (PA) listed with a National Provider Identifier?
Yes — STEPHANIE ANNE SHEPARD (PA) has NPI 1396705174 on file in the registry.
Would STEPHANIE ANNE SHEPARD (PA) appear as active to a payer?
You can treat STEPHANIE ANNE SHEPARD (PA) as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with STEPHANIE ANNE SHEPARD (PA)?
STEPHANIE ANNE SHEPARD (PA)'s record emphasizes Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for STEPHANIE ANNE SHEPARD (PA)?
Travel planning: use Fairfax, Virginia as the reference point for STEPHANIE ANNE SHEPARD (PA), then confirm.
What does 5 location(s) imply?
5 practice locations appear in the available data.

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