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

Shellie Diane Shepherd, PA-C

Individual provider Physician Assistant · NPI 1043252299

Shellie Diane Shepherd, PA-C is a Physician Assistant in Burleson, Texas. Qualified in 2004, 22 years ago. Offers telehealth. Licensed in Texas.

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

12608 S Fwy Ste 140
Burleson, TX 76028-8435
Phone: (817) 295-7214
Fax: (817) 295-7062
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA04151 (TX)

Record details

NPI number1043252299
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 12, 2006
Last updated in NPPESNovember 1, 2019
Mailing address12608 South Fwy Ste 140, Burleson, TX 76028-8435

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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