STACEY T SHEPHERD (PA-C) – Medical Physician Assistant, NPI 1679673255

STACEY T SHEPHERD (PA-C) is a healthcare provider. based in Gainesville, Virginia. specializing in Medical Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 0110001525 (VA). The NPI Number for STACEY T SHEPHERD (PA-C) is 1679673255

Main info

Female
Name
STACEY T SHEPHERD (PA-C)
NPI
1679673255
Phone
Not provided
Address
6705 JACKPIN PL
Enumeration Date
24 September 2006
Last Update Date
8 July 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for STACEY T SHEPHERD (PA-C)

  • 6705, Jackpin Place, Gainesville, Prince William County, Virginia, 20155, United States

    GAINESVILLE, VA 201554459

    Phone:

    Type: Mailing

  • 5645, Stone Road, Centreville, Virginia, 20120, United States

    CENTREVILLE, VA 201201618

    Phone: (703) 266-2442

    Fax: (703) 266-7158

    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 $17.

Total Amount is formed as General ($17) + Research ($0) + Ownership ($0) = $17.

Last reported payment date: 2023-02-01 • Largest payer in this snapshot: Exact Sciences Corporation ($17).

Total Amount

$17

General + Research + Ownership

Payments

1

Total payment records

General Amount

$17

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-02-01

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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 20155)

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Reviews

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Frequently asked questions

What federal number belongs to STACEY T SHEPHERD (PA-C)?
The federal identifier for STACEY T SHEPHERD (PA-C) is NPI 1679673255.
Is STACEY T SHEPHERD (PA-C)'s NPI currently valid?
The extract we use shows STACEY T SHEPHERD (PA-C) as active.
Does STACEY T SHEPHERD (PA-C) list a primary specialty?
If you are matching referrals, note Medical Physician Assistant for STACEY T SHEPHERD (PA-C). Clinical services aligned with this taxonomy classification.
What location shows for STACEY T SHEPHERD (PA-C)?
We surface Gainesville, Virginia for STACEY T SHEPHERD (PA-C) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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