Individual ProviderAmy ShepherdNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-4881(910) 907-8922PECOS EnrollmentBased on the most recent information from CMS, provider Amy Shepherd is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1538878509Provider TypeIndividualFull NameShepherd, AmyGenderFemaleSole ProprietorNoEnumeration Date11/18/2022Last Updated2/4/2025Contact InformationPractice LocationPractice Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-4881Phone(910) 907-8922Fax(910) 907-6069Mailing LocationMailing Address2817 Rock Merritt Ave, Fort Liberty, NC 28310-7591PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5017935North Carolina