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

Michelle R. Shepherd, PMHNP-BC

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1114571445

Michelle R. Shepherd, PMHNP-BC is a Nurse Practitioner in Moline, Illinois. Qualified in 2018, 8 years ago. Practices with The Robert Young Center for Community Mental Health, a 54-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Iowa and Illinois.

Years since qualifying
8
Licensed in
IA, IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.

See every abbreviation used in this directory →

Practice location Address checks out

4600 3rd St
Moline, IL 61265-6106
Phone: (309) 779-2031
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence G154523 (IA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 209019382 (IL)

Record details

NPI number1114571445
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESJuly 25, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice The Robert Young Center For Community Mental Health — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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