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

Stephanie Anne Shepard, PA

Individual provider Physician Assistant · NPI 1396705174

Stephanie Anne Shepard, PA is a Physician Assistant in Fairfax, Virginia. Qualified in 2005, 21 years ago. Works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California, North Carolina and Virginia.

Years since qualifying
21
Licensed in
CA, NC, VA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

8260 Willow Oaks Corporate Dr Ste 650
Fairfax, VA 22031-4531
Phone: (703) 776-2000
Fax: (571) 665-6797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2700 Prosperity Ave Ste 270, Fairfax, VA 22031-4321 — (703) 698-2431

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005117 (VA)
Physician Assistant Taxonomy 363A00000X · Licence PA18335 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 0010-01115 (NC)

Record details

NPI number1396705174
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 24, 2006
Last updated in NPPESDecember 21, 2022
Certification dateDecember 21, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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