Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Michelle L Shepherd, PA-C

Individual provider Physician Assistant · NPI 1144911264

Michelle L Shepherd, PA-C is a Physician Assistant in Phoenix, Arizona. Qualified in 2022, 4 years ago. Practices with Momdoc LLC, a 61-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

8410 W Thomas Rd Ste 134
Phoenix, AZ 85037-3374
Phone: (480) 821-3600
Fax: (480) 857-2667
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 9713 (AZ)
Physician Assistant Taxonomy 363A00000X · Licence 9713 (AZ)

Record details

NPI number1144911264
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 18, 2023
Last updated in NPPESMay 30, 2024
Certification dateMay 30, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Momdoc Llc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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