Theresa Ann Shepard, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Jacksonville, FL

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Theresa Ann Shepard, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. She graduated from nursing school in 2005 and has 20 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice University Of Florida Jacksonville Physicians, Inc. and her current practice location is 4500 San Pablo Rd S, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 953-2000.

Theresa Ann Shepard is licensed to practice in Florida (license number 11008206) 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 1396781993.

Contact Information

Theresa Ann Shepard, CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865
(904) 953-2000
Not Available

Map and Direction




Provider's Profile

Full NameTheresa Ann Shepard
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience20 Years
Location4500 San Pablo Rd S, Jacksonville, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Ann Shepard graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1396781993
  • Provider Enumeration Date: 06/21/2006
  • Last Update Date: 02/05/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3971516113
  • Enrollment ID: I20200924000893

Medical Identifiers

Medical identifiers for Theresa Ann Shepard such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396781993NPI-NPPES
108114500MedicaidFL
180369408MedicaidTX
8520UJOtherTXBCBS
86137UOtherTXBLUE CROSS & BLUE SHIELD
180369401MedicaidTX
P01446646OtherTXRR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 724516 (Texas)Secondary
367500000XNurse Anesthetist, Certified Registered 11008206 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Shands JacksonvilleJacksonville, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
University Of Florida Jacksonville Physicians, Inc.9133025869765

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. Theresa Ann Shepard allows following entities to bill medicare on her behalf.
Entity NameMayo Clinic Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790772317
PECOS PAC ID: 5698689297
Enrollment ID: O20031118000388
Entity NameUniversity Of Florida Jacksonville Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144276452
PECOS PAC ID: 9133025869
Enrollment ID: O20040128000786
Entity NameUs Anesthesia Partners Of Florida Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518910520
PECOS PAC ID: 0345143152
Enrollment ID: O20040129000594
Entity NameJax Anesthesia Providers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245271154
PECOS PAC ID: 5698783702
Enrollment ID: O20060331000288
Entity NameSunshine State Anesthesia Partners Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437757127
PECOS PAC ID: 8123434792
Enrollment ID: O20210305000003

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. Theresa Ann Shepard 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
Theresa Ann Shepard, CRNA
2985 Pescara Dr,
Jacksonville, FL 32246-5556

Ph: (817) 733-8363		Theresa Ann Shepard, CRNA
4500 San Pablo Rd S,
Jacksonville, FL 32224-1865

Ph: (904) 953-2000

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    

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.