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

JENNIFER SHOUP
NPI 1245015890
Student in an Organized Health Care Education/Training Program in Las Cruces, NM

Active since August 30, 2023PECOS Enrolled
715 E IDAHO AVE STE 3E, LAS CRUCES, NM 88001(575) 323-8900 Get Directions Write a Review

NPPES record last updated: October 20, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jennifer Shoup NPPES

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

JENNIFER SHOUP (NPI 1245015890) is an individual student in an organized health care education/training program in Las Cruces, New Mexico and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1245015890
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER SHOUP
Location Address715 E IDAHO AVE STE 3ELas Cruces, NM 88001-4702
Mailing Address350 El Molino BlvdLas Cruces, NM 88005-2915 · (575) 323-8900
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2023
Last NPPES UpdateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1245015890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
715 E IDAHO AVE STE 3E, Las Cruces, NM 88001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Shoup 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 ID8123585049
PECOS Enrollment IDI20260811000120
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 Shoup reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
350 EL MOLINO BLVD
Las Cruces, NM 88005
  • Reassigned Medicare billing, New Mexico enrollment
  • 15 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 5

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

Counselor (Mental Health)
715 E IDAHO AVE STE 3E
LAS CRUCES, NM 88001
Psychologist (Clinical)
715 E IDAHO AVE STE 3E
LAS CRUCES, NM 88001
Counselor (Mental Health)
715 E IDAHO AVE STE 3E
LAS CRUCES, NM 88001
Psychologist (Clinical)
715 E IDAHO AVE STE 3E
LAS CRUCES, NM 88001
Community Health Worker
715 E IDAHO AVE STE 3E
LAS CRUCES, NM 88001

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 Shoup's NPI number?

The NPI number for Jennifer Shoup is 1245015890. It was assigned to this individual provider in the NPPES registry on August 30, 2023.

Where is Jennifer Shoup located?

Jennifer Shoup practices at 715 E Idaho Ave Ste 3E, Las Cruces, NM 88001. The listed phone number is (575) 323-8900.

What is Jennifer Shoup's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jennifer Shoup enrolled in Medicare?

Yes. Jennifer Shoup 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.

Which organization bills Medicare for Jennifer Shoup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Shoup reassigns Medicare benefits to Nexus Counseling Center, LLC (Las Cruces, NM). 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 Shoup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jennifer Shoup was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.