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JENNIFER ARCHEY SHETTERS APN
NPI 1194099358
Nurse Practitioner - Adult Health in Tullahoma, TN

Active since March 05, 2012PECOS Enrolled
601 NW ATLANTIC ST, TULLAHOMA, TN 37388(931) 393-2245(931) 393-2247 Get Directions Write a Review

NPPES record last updated: November 11, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Archey Shetters Apn NPPES

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

JENNIFER ARCHEY SHETTERS APN (NPI 1194099358) is an individual adult health provider in Tullahoma, Tennessee, licensed in Tennessee (APN0000016420) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, is affiliated with Southern Tennessee Regional Hlth System Winchester, and is a graduate of Vanderbilt University School Of Medicine (2011).

NPPES Registry Identity

NPI1194099358
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameJENNIFER ARCHEY SHETTERSCredential: APN
Location Address601 NW ATLANTIC STTullahoma, TN 37388-3536
Mailing Address2106n Jackson StTullahoma, TN 37388-2208 · (931) 455-2045 · Fax (931) 455-9960
Phone(931) 393-2245
Fax(931) 393-2247
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2011
Enumeration DateMarch 5, 2012
Last NPPES UpdateNovember 11, 2015
✔ NPI 1194099358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in TN · APN0000016420
601 NW ATLANTIC ST, Tullahoma, TN 37388
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Archey Shetters Apn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3870716350
PECOS Enrollment IDI20140602001728
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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Shetters reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Spectrum Medical Associates
2.1 mi
Family Medicine
2106 N JACKSON ST
Tullahoma, TN 37388
  • Reassigned Medicare billing, Tennessee enrollment
  • 3 clinicians in this Medicare group
NPI 1548458573 (931) 455-2045

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Tennessee Regional Hlth System Winchester

Acute Care Hospitals · Winchester, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440058
Location185 Hospital RoadWinchester, TN 37398 · Franklin County
Emergency services Birthing friendly

Vanderbilt Tullahoma-Harton Hospital

Acute Care Hospitals · Tullahoma, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number440144
Location1801 N Jackson St Box 460Tullahoma, TN 37388 · Coffee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37388 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

PEDIATRIC DENTAL CENTERS, PC
Dentist (Pediatric Dentistry)
601 NW ATLANTIC ST, SUITE A
TULLAHOMA, TN 37388
Coffee County (931) 455-8003
G.B. MEDICAL ASSOICATES, INC.
Family Medicine
601 NW ATLANTIC ST
TULLAHOMA, TN 37388
Coffee County (931) 393-2245
DR. STEVE RANDALL LYNN DDS
Dentist (Pediatric Dentistry)
601 NW ATLANTIC ST
TULLAHOMA, TN 37388
Coffee County (931) 455-8003
TULLAHOMA ADVANCED CARE INC.
Family Medicine
601 NW ATLANTIC ST
TULLAHOMA, TN 37388
Coffee County (931) 393-2245

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 Jennifer Shetters's NPI number?

The NPI number for Jennifer Shetters is 1194099358. It was assigned to this individual provider in the NPPES registry on March 5, 2012.

Where is Jennifer Shetters located?

Jennifer Shetters practices at 601 NW Atlantic St, Tullahoma, TN 37388. The listed phone number is (931) 393-2245.

What is Jennifer Shetters's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Jennifer Shetters enrolled in Medicare?

Yes. Jennifer Shetters is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Shetters's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Shetters reassigns Medicare benefits to Spectrum Medical Associates (Tullahoma, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Shetters's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Shetters accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jennifer Shetters as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jennifer Shetters affiliated with any hospitals?

According to CMS data, Jennifer Shetters is affiliated with Southern Tennessee Regional Hlth System Winchester and Vanderbilt Tullahoma-Harton Hospital.

When was this NPI record last updated?

The NPPES record for Jennifer Shetters was last updated on November 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.