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

Phillip D. Shepard, CRNA

Individual provider Registered Nurse · NPI 1356784581

Phillip D. Shepard, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Shawnee Mission, Kansas. Qualified in 2013, 13 years ago. Practices with Community Medicine Associates, a 589-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kansas and Texas.

Years since qualifying
13
Licensed in
KS, TX
In the registry since
2013
Specialties on file
3
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

9100 W 74th St
Shawnee Mission, KS 66204-4004
Phone: (913) 632-2230
Fax: (913) 632-2297
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4502 Medical Dr, San Antonio, TX 78229-4402 — (210) 358-4000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1036303 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 96070 (KS)
Certified Registered Nurse Anesthetist Taxonomy 367500000X · Licence 557175 (KS)

Record details

NPI number1356784581
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedApril 8, 2013
Last updated in NPPESMay 22, 2024
Certification dateMay 22, 2024
Mailing addressPo Box 411895, Kansas City, MO 64141-1895

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Community Medicine Associates — 589 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawnee Mission