RENEE ELIZABETH SHEPHERD DPM NPI 1558713420

NPI Information

  • NPI: 1558713420
  • Provider Name: RENEE ELIZABETH SHEPHERD, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 14 DOCTORS CIR STE 2
    SUPPLY, NC
    ZIP 28462
  • Phone: (107) 556-5129

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NPI Details

Renee Elizabeth Shepherd, DPM is a foot and ankle surgery podiatrist in Supply, NC with 10 years of experience. Renee Elizabeth Shepherd, DPM NPI is 1558713420. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: KENT STATE UNIVERSITY COLLEGE OF PODIATRIC MEDICINE
Graduation Year:2016

The provider's business location address is:

14 DOCTORS CIR STE 2
SUPPLY, NC
ZIP 28462-088
Phone: (107) 556-5129
Fax: (910) 755-6548

The NPI 1558713420 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Detection test by nucleic acid for organism, amplified probe technique (HCPCS:87798)
  • Amniotext patch, per square centimeter (HCPCS:Q4247)
  • Axolotl graft or axolotl dualgraft, per square centimeter (HCPCS:Q4210)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Detection test for candida species (yeast), amplified probe technique (HCPCS:87481)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • Injection, dexamethasone sodium phosphate, 1 mg (HCPCS:J1100)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique (HCPCS:87500)
  • Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less (HCPCS:15275)
  • Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique (HCPCS:87640)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Removal of skin and tissue, 20.0 sq cm or less (HCPCS:11042)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • X-ray of ankle, minimum of 3 views (HCPCS:73610)
  • Removal of tissue from wound, 20.0 sq cm or less (HCPCS:97597)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.5 cm or less (HCPCS:11305)
  • Shaving of skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm (HCPCS:11306)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Ultrasonic guidance for needle placement (HCPCS:76942)
  • Injection into tendon or ligament (HCPCS:20550)
  • Removal of fingernails or toenails, 1-5 nails (HCPCS:11720)
  • Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less (HCPCS:15004)
  • Aspiration and/or injection of fluid from medium joint using ultrasound guidance (HCPCS:20606)
  • Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)

The enumeration date for this NPI number is 7/5/2016 and was last updated on 6/5/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgeryE5569CALIFORNIANo
2390200000XStudent in an Organized Health Care Education/Training ProgramSC006766PENNSYLVANIANo
3213ES0103XPodiatristFoot & Ankle Surgery0103301338VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1E5569OTHERCALIFORNIALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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