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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNA MAE DEDEKER SHOEMAKER
NPI 1174142327
Pediatrics - Pediatric Emergency Medicine in Chattanooga, TN

Active since April 08, 2020PECOS Enrolled
910 BLACKFORD ST, CHATTANOOGA, TN 37403(423) 778-6101 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 6, 2026, Jun 16, 2023, Apr 8, 2020 (3 updates tracked since 2020).

About Jenna Mae Dedeker Shoemaker NPPES

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

JENNA MAE DEDEKER SHOEMAKER (NPI 1174142327) is an individual pediatric emergency medicine provider in Chattanooga, Tennessee, licensed in Tennessee (76995) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174142327
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameJENNA MAE DEDEKER SHOEMAKER
Location Address910 BLACKFORD STChattanooga, TN 37403-1405
Mailing Address3849 Wilhoit RdApison, TN 37302-9783 · (423) 400-4487
Phone(423) 778-6101
Sole ProprietorNo
Enumeration DateApril 8, 2020
Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1174142327 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in TN · 76995
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
910 BLACKFORD ST, Chattanooga, TN 37403
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jenna Mae Dedeker Shoemaker is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

ANTHONY JOSEPH CIAMPOLI DO
Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6217
KATHLEEN S HUNT MD
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6505
AUDREY GRACE BYRD MS, CCC-SLP
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8005
ALLYSON AVERETT
Nurse Practitioner (Pediatrics, Critical Care)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6011
KATHRYN CHARLTON HINES M.D.
Pediatrics
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6107
TARA MAY MD
Student in an Organized Health Care Education/Training Program
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6217
DRAGO TOLOSA MD
Pediatrics (Pediatric Gastroenterology)
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-6575
EMILY SHERROD CCC-SLP
Speech-Language Pathologist
910 BLACKFORD ST
CHATTANOOGA, TN 37403
Hamilton County (423) 778-8034

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 Jenna Dedeker Shoemaker's NPI number?

The NPI number for Jenna Dedeker Shoemaker is 1174142327. It was assigned to this individual provider in the NPPES registry on April 8, 2020.

Where is Jenna Dedeker Shoemaker located?

Jenna Dedeker Shoemaker practices at 910 Blackford St, Chattanooga, TN 37403. The listed phone number is (423) 778-6101.

What is Jenna Dedeker Shoemaker's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Jenna Dedeker Shoemaker enrolled in Medicare?

Yes. Jenna Dedeker Shoemaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jenna Dedeker Shoemaker was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.