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

Individual provider Certified Registered Nurse Anesthetist · NPI 1265475388

Scott Shepherd, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Fayetteville, Arkansas. Qualified in 2004, 22 years ago. Practices with Premier Anesthesia of Arkansas Professional Corporation, a 88-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
22
Licensed in
AR
In the registry since
2006
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

3215 N Northhills Blvd
Fayetteville, AR 72703-4424
Phone: (918) 664-9892
Fax: (918) 664-2521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence C01510 (AR)

Record details

NPI number1265475388
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJune 14, 2006
Last updated in NPPESFebruary 10, 2012

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Premier Anesthesia Of Arkansas Professional Corporation — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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