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SHANNON JENKINS DO
NPI 1023083680
Pediatrics - Neonatal-Perinatal Medicine in Idaho Falls, ID

Active since February 17, 2006PECOS EnrolledAccepts Medicare Assignment
2860 CHANNING WAY, SUITE 100, IDAHO FALLS, ID 83404(208) 535-4575(208) 535-4569 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shannon Jenkins Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANNON JENKINS DO (NPI 1023083680) is an individual neonatal-perinatal medicine provider in Idaho Falls, Idaho, licensed in Idaho (O0424) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Louisville, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (1997).

NPPES Registry Identity

NPI1023083680
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameSHANNON JENKINSCredential: DO
Location Address2860 CHANNING WAY, SUITE 100Idaho Falls, ID 83404-7531
Mailing Address2860 Channing Way Ste 100Idaho Falls, ID 83404-7531 · (208) 535-4575 · Fax (208) 535-4569
Phone(208) 535-4575
Fax(208) 535-4569
Sole ProprietorNo
Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 1997
Enumeration DateFebruary 17, 2006
Last NPPES UpdateDecember 30, 2025
NPPES CertifiedDecember 30, 2025
✔ NPI 1023083680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in ID · O0424✔ Licensed in AZ · 3863✔ Licensed in KY · C4692
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2860 CHANNING WAY, Idaho Falls, ID 83404
Open in Google Maps ↗

Secondary Practice Location 1

Location 1411 E Chestnut StLouisville, KY 40202-1713 · Phone (502) 588-0982 · Fax (502) 588-0987

Other Identifiers 4

Medicaid0117377MT
Medicaid121542600WY
Medicaid121542600ID
Medicaid1285786046WY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shannon Jenkins Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204820905
PECOS Enrollment IDI20251117001534, I20260128002960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EAST FALLS PLASTIC SURGERY LLC
Plastic Surgery
2860 CHANNING WAY, SUITE 114A
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4565
OMNIFLIGHT HELICOPTERS, INC.
Ambulance (Air Transport)
2860 CHANNING WAY, SUITE 206
IDAHO FALLS, ID 83404
Bonneville County (800) 760-1583
R.K. ARBON, M.D., P.A.
Family Medicine
2860 CHANNING WAY, SUITE 116
IDAHO FALLS, ID 83404
Bonneville County (208) 529-0575
BRANDI JO SMITH APRN-CNP
Nurse Practitioner (Family)
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Bonneville County (208) 529-7283
TETON PLASTIC SURGERY
Surgery (Plastic and Reconstructive Surgery)
2860 CHANNING WAY, SUITE 213
IDAHO FALLS, ID 83404
Bonneville County (208) 552-1406
EASTERN IDAHO SPINE CENTER
Rehabilitation Practitioner
2860 CHANNING WAY, STE 112
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4343
MRS. EMILY ANN COWLES R.D.,L.D.
Dietitian, Registered
2860 CHANNING WAY, SUITE 115
IDAHO FALLS, ID 83404
Bonneville County (208) 529-6127
WESTERN CENTER FOR REHABILITATION
Rehabilitation Practitioner
2860 CHANNING WAY, 114
IDAHO FALLS, ID 83404
Bonneville County (208) 535-4343

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Jenkins's NPI number?

The NPI number for Shannon Jenkins is 1023083680. It was assigned to this individual provider in the NPPES registry on February 17, 2006.

Where is Shannon Jenkins located?

Shannon Jenkins practices at 2860 Channing Way Suite 100, Idaho Falls, ID 83404. The listed phone number is (208) 535-4575.

What is Shannon Jenkins's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Shannon Jenkins enrolled in Medicare?

Yes. Shannon Jenkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Jenkins was last updated on December 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.