Scott Shepherd, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fayetteville, AR

Scott Shepherd, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fayetteville, Arkansas. He graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Premier Anesthesia Of Arkansas Professional Corporation and his current practice location is 3215 N Northhills Blvd, Fayetteville, Arkansas. You can reach out to his office (for appointments etc.) via phone at (918) 664-9892.

Scott Shepherd is licensed to practice in Arkansas (license number C01510) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265475388.

Contact Information

Scott Shepherd, CRNA
3215 N Northhills Blvd,
Fayetteville, AR 72703-4424
(918) 664-9892
(918) 664-2521

Map and Direction




Provider's Profile

Full NameScott Shepherd
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location3215 N Northhills Blvd, Fayetteville, Arkansas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Scott Shepherd graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1265475388
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 02/10/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 2264473834
  • Enrollment ID: I20050513000758

Medical Identifiers

Medical identifiers for Scott Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265475388NPI-NPPES
200051950AMedicaidOK
157034001MedicaidAR
771003601OtherARARKANSAS BREASTCARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered C01510 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Washington Regional Medical CenterFayetteville, ARHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Anesthesia Of Arkansas Professional Corporation640607746051

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Scott Shepherd allows following entities to bill medicare on his behalf.
Entity NamePremier Anesthesia Of Arkansas Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932519485
PECOS PAC ID: 6406077460
Enrollment ID: O20141016002060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Scott Shepherd is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Scott Shepherd, CRNA
4500 S Garnett Rd, Ste 300,
Tulsa, OK 74146-5229

Ph: (918) 664-9892
Scott Shepherd, CRNA
3215 N Northhills Blvd,
Fayetteville, AR 72703-4424

Ph: (918) 664-9892

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fayetteville, AR

Amanda Lavon Delsoto, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3271 Wimberly Dr, Fayetteville, AR 72703
Phone: 479-713-6100    
Kelsey Erin Van Slyke, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-463-1000    
Mr. Charles Arthur Mccutchen Sr., C.R.N.A.
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 3873 N Parkview Dr, Fayetteville, AR 72703
Phone: 479-527-0050    
Victor Pribislavski, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3394 N Futrall Dr, Fayetteville, AR 72703
Phone: 479-582-3360    Fax: 479-582-3466
Heather Pribislavski, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 501-690-2708    
James Berry, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 3318 N Northhills Blvd, Fayetteville, AR 72703
Phone: 479-872-1294    
Bradley Tow, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3215 N Northhills Blvd, Fayetteville, AR 72703
Phone: 770-643-5619    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.