Wendell Beaty Shepherd, DO
NPI 1215721428ActiveIndividual· Student in an Organized Health Care Education/Training Program· Davenport, IA
Student in an Organized Health Care Education/Training Program (DO) in Davenport, Iowa, trained at Des Moines University of Osteopathic Medicine and Health Sciences (class of 2025). Enrolled in Medicare as practitioner - family practice.
Overview
| NPI | 1215721428 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | No |
| NPI issued | Apr 4, 2025 |
| Last updated in NPPES | Apr 4, 2025 |
| Certified by provider | Apr 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (IA) |
|---|
Education and affiliations
| Medical school | Des Moines University of Osteopathic Medicine and Health Sciences |
|---|---|
| Graduation year | 2025 |
| Medicare specialty | Family Practice |
Medical group
- Genesis Health SystemDe Witt, IA · 224 clinicians
Hospital affiliations
- Genesis Hlth System DBA Genesis Mdl Ctr-IlliniSilvis, IL
- Genesis Medical Center-DavenportDavenport, IA
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All 76 Student in an Organized Health Care Education/Training Program providers in Davenport · All Student in an Organized Health Care Education/Training Program providers in Iowa