Look up the most recent NPI and PECOS records

Alyssa Jo Shepherd

Student in an Organized Health Care Education/Training Program

Student, Health Care

12505 E. 16th Avenue Anschutz Inpatient Pavilion 2, Floor 3, Aurora, CO 80045

PECOS Enrollment

This provider is enrolled in PECOS as ALYSSA SHEPHERD.

Based on the most recent information from CMS, provider Alyssa Jo Shepherd is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records today at 8:47 AM.

Profile Details

Provider ID
1538899711
Provider Type
Individual
Full Name
Shepherd, Alyssa Jo
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/12/2022
Last Updated
7/17/2025

Contact Information

Practice Location

12505 E. 16th Avenue Anschutz Inpatient Pavilion 2, Floor 3, Aurora, CO 80045

(720) 848-5300

Unlisted Fax

Mailing Location

12505 E. 16th Avenue Anschutz Inpatient Pavilion 2, Floor 3, Aurora, CO 80045

(720) 848-5300

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License TL.0010590 Colorado
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License 293374 Massachusetts

Alyssa Jo Shepherd

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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