Annette Ambito Shepherd, FNP-C
NPI 1417441130ActiveIndividual· Nurse Practitioner, Primary Care· Chula Vista, CA
Nurse Practitioner, Primary Care (FNP-C) with Pouya Afshar MD Inc, practicing in Chula Vista, California. In 2024 Medicare paid $79,651 for 107 patients, and Part D covered 336 of their prescriptions, 74% of them generic.
Overview
| NPI | 1417441130 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | FNP-C |
| Sole proprietor | Yes |
| NPI issued | Jun 16, 2018 |
| Last updated in NPPES | Jun 21, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Primary Care Primary | 363LP2300X | 95008959 | CA |
| Nurse Practitioner, Family | 363LF0000X | 95008959 | CA |
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 - Nurse Practitioner (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 107 |
|---|---|
| Services billed | 1,029 across 9 procedure codes |
| Paid by Medicare | $79,651 |
Part D prescriptions in 2024
| Prescriptions (claims) | 336 · 338 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $19,547 |
| Generic share | 74% of claims |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Pouya Afshar MD IncSan Diego, CA · 19 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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