Tabitha Jo Shepherd, CRNA in Jacksonville, FL - Medicare Certified Registered Nurse Anesthetist (crna)

Tabitha Jo Shepherd, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2024 and has 1 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Sheridan Healthcorp Inc, North Florida Anesthesia Consultants Inc and her current practice location is 1 Shircliff Way, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 308-7300.

Tabitha Jo Shepherd is licensed to practice in Florida (license number APRN11036894) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1023833555.

Contact Information

	Tabitha Jo Shepherd, CRNA
	1 Shircliff Way, Jacksonville, FL 32204-4748
	(904) 308-7300
	Not Available

Map and Direction

Provider's Profile

Full Name	Tabitha Jo Shepherd
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	1 Years
Location	1 Shircliff Way, Jacksonville, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tabitha Jo Shepherd graduated from nursing school in 2024

NPI Data:

NPI Number: 1023833555
Provider Enumeration Date: 11/19/2024
Last Update Date: 05/29/2025

Medicare PECOS Information:

PECOS PAC ID: 7012447998
Enrollment ID: I20250206003150

Medical Identifiers

Medical identifiers for Tabitha Jo Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023833555	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WN0002X	Registered Nurse - Neonatal Intensive Care	RN9580294 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	155023 (Florida)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	APRN11036894 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ascension St Vincent's Riverside	Jacksonville, FL	Hospital
Broward Health Coral Springs	Coral springs, FL	Hospital
Ascension St Vincent's Clay County	Middleburg, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sheridan Healthcorp Inc	3173429693	849
North Florida Anesthesia Consultants Inc	7416869565	103

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. Tabitha Jo Shepherd allows following entities to bill medicare on her behalf.

Entity Name	North Florida Anesthesia Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664

Entity Name	Sheridan Healthcorp Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355

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. Tabitha Jo 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 Address	Practice Location Address
Tabitha Jo Shepherd, CRNA 2664 Cold Stream Ln, Green Cove Springs, FL 32043-8623 Ph: (405) 413-4600	Tabitha Jo Shepherd, CRNA 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Jacksonville, FL

Crystal Lynn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Lauren E Freed, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Sarah Anne Piscitello, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1 Shircliff Way, Jacksonville, FL 32204 Phone: 904-477-5855
Lindsay Michelle Putkowski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6111
Michelle Alicia Coy, DNP Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 2080 Child St Dept 5000, Jacksonville, FL 32214 Phone: 904-542-7300
Kristina Schneider, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Mr. Bruce Anthony Wilburn, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2165 Herschel St, Jacksonville, FL 32204 Phone: 904-387-1220

Tabitha Jo Shepherd, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL