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

Active since August 30, 2023PECOS Enrolled
1203 MICHIGAN AVE, ALAMOGORDO, NM 88310(575) 491-3419 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: August 16, 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 Alamogordo, New Mexico and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245015890
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJENNIFER SHOUP
Location Address1203 MICHIGAN AVEAlamogordo, NM 88310-6725
Mailing Address1203 Michigan AveAlamogordo, NM 88310-6725 · (575) 491-3419
Phone(575) 491-3419
Sole ProprietorNo
Enumeration DateAugust 30, 2023
NPPES CertifiedAugust 30, 2023
✔ NPI 1245015890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1203 MICHIGAN AVE, Alamogordo, NM 88310
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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)

Jennifer Shoup 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 19

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

EMILY GRACE GEORGE
Counselor (Mental Health)
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
DARRIN LEE YOUNG JR.
Case Manager/Care Coordinator
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
MICHAELDAVID ANCHONDO LSAA
Student in an Organized Health Care Education/Training Program
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
MR. ANTHONY HERBERT WRIGHT LMSW
Social Worker (Clinical)
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 489-6510
CAROLYN DERDEN
Student in an Organized Health Care Education/Training Program
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
MRS. COLLEEN MARIE WILLIAMS LPCC
Counselor (Mental Health)
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
MRS. CHEYENNE TAWNY CASS
Counselor (Mental Health)
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419
WILLIAMS COUNSELING LLC
Community/Behavioral Health
1203 MICHIGAN AVE
ALAMOGORDO, NM 88310
Otero County (575) 491-3419

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 1203 Michigan Ave, Alamogordo, NM 88310. The listed phone number is (575) 491-3419.

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 enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Shoup was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.