Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristen Shepherd

Individual provider Family Nurse Practitioner · NPI 1174160204

Kristen Shepherd is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2019, 7 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

2130 W Sycamore St Ste 260
Kokomo, IN 46901-6460
Phone: (765) 236-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3510 S Lafountain St, Kokomo, IN 46902-3803 — (765) 776-5600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009673A (IN)

Record details

NPI number1174160204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address2130 W Sycamore St Ste 260, Kokomo, IN 46901-6460

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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