SUSAN SHEPPARD NPI 1598857278

NPI Information

  • NPI: 1598857278
  • Provider Name: SUSAN SHEPPARD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 2200 FORT JESSE RD
    SUITE 110
    NORMAL, IL
    ZIP 61761
  • Phone: (309) 661-6290

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NPI Details

Susan Sheppard is a family medicine in Normal, IL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Susan Sheppard NPI is 1598857278. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2200 FORT JESSE RD
SUITE 110
NORMAL, IL
ZIP 61761-286
Phone: (309) 661-6290
Fax: (309) 451-1354

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.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Routine electrocardiogram (ecg) using at least 12 leads with tracing (HCPCS:93005)
  • Urinalysis, manual test (HCPCS:81002)
  • Pneumococcal vaccine, 23-valent (HCPCS:90732)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Removal of impacted ear wax by washing (HCPCS:69209)

The enumeration date for this NPI number is 9/29/2006 and was last updated on 6/10/2008.

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
1207Q00000XFamily Medicine036101712ILLINOISYes

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
1G62950MEDICARE UPIN
2CA2264MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR GROUP #
3833130OTHERILLINOISMEDICARE GROUP #
4080150256MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR INDIVIDUAL #
5L89068MEDICARE ID-TYPE UNSPECIFIEDILLINOISINDIVIDUAL #
6036101712MEDICAIDILLINOIS

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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