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

Kristen Shepherd

Individual provider Family Nurse Practitioner · NPI 1174160204

Kristen Shepherd is a Nurse Practitioner in Kokomo, Indiana. Qualified in 2019, 7 years ago. Practices with St Vincent Medical Group Inc, a 727-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
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Practice location Address checks out

2130 W Sycamore St Ste 260
Kokomo, IN 46901-6460
Phone: (765) 236-8457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3510 S Lafountain St, Kokomo, IN 46902-3803 — (765) 776-5600

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71009673A (IN)

Record details

NPI number1174160204
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 9, 2019
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Vincent Medical Group Inc — 727 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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