JENISA SHRESTHA MD
Accepted Insurance for NPI 1275107708
Emergency Medicine in Jackson, TN

Active since May 19, 2021PECOS EnrolledAccepts Medicare Assignment

294 SUMMAR DR, JACKSON, TN 38301(731) 423-1932 Get Directions

NPPES record last updated: October 5, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2024, Aug 21, 2024, May 19, 2021 (3 updates tracked since 2021).

Does Dr. Shrestha take my insurance?

Oscar Health includes Dr. Shrestha in 19 Tennessee plans sold on HealthCare.gov for 2027, all on its Individual Tennessee network. Insurers also list Dr. Shrestha in 6 other states.

InsurerOscar Health 19 plans

Also listed in6 other states

Call before you book: insurer directories can be out of date, so call the office at (731) 423-1932 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Tennessee plans 19 plans

Plans sold to Tennessee residents. Costs are for the standard version of each plan.

Oscar Health

19 plans · EPO

Accepting new patients

Gold Elite Saver PlusEPOGold$023552TN0020036

Gold Elite Saver Plus with Adult Dental & VisionEPOGold$023552TN0020080

Gold Classic StandardEPOGold$2,50023552TN0020053

Silver Simple PCP SaverEPOSilver$5,75023552TN0020025

Silver Simple Women's Health with Menopause BenefitsEPOSilver$6,00023552TN0020064

Silver Simple Breathe Easy with Enhanced COPD BenefitsEPOSilver$6,20023552TN0020056

Silver Classic StandardEPOSilver$6,40023552TN0020052

Silver Simple Chronic Care CKMEPOSilver$6,50023552TN0020063

Silver Simple DiabetesEPOSilver$6,50023552TN0020055

Silver Simple Diabetes with Adult Dental & VisionEPOSilver$6,50023552TN0020084

Silver Core PlanEPOSilver$9,00023552TN0020078

Bronze Elite + PCP Saver PlusEPOExpanded Bronze$023552TN0020005

Bronze Elite + PCP Saver Plus with Adult Dental & VisionEPOExpanded Bronze$023552TN0020079

Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$5,50023552TN0020058

Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50023552TN0020059

Bronze Simple DiabetesEPOExpanded Bronze$5,50023552TN0020060

Bronze Simple Diabetes with Adult Dental & VisionEPOExpanded Bronze$5,50023552TN0020082

Bronze Classic StandardEPOExpanded Bronze$7,50023552TN0020050

Bronze SimpleEPOExpanded Bronze$9,15023552TN0020068

Also listed in other states 100 plans · 6 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Ohio

19 plans · HMO

Not accepting new patientsDeductible $1,200 to $9,350

Clear GoldHMOGold$1,20041047OH0010067

Clear Gold + Vision + Adult DentalHMOGold$1,20041047OH0030071

Complete GoldHMOGold$1,45041047OH0010041

Complete Gold + Vision + Adult DentalHMOGold$1,45041047OH0030041

Signature GoldHMOGold$2,50041047OH0010071

Signature Gold + Vision + Adult DentalHMOGold$2,50041047OH0030074

Streamlined SilverHMOSilver$4,70041047OH0010034

Enhanced CHF Heart Care Silver $0 Rx OptionsHMOSilver$6,00041047OH0010035

Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult DentalHMOSilver$6,00041047OH0030035

Signature SilverHMOSilver$6,40041047OH0010070

Signature Silver + Vision + Adult DentalHMOSilver$6,40041047OH0030073

Complete SilverHMOSilver$6,95041047OH0010025

Complete Silver + Vision + Adult DentalHMOSilver$6,95041047OH0030025

Signature Expanded BronzeHMOExpanded Bronze$7,50041047OH0010069

Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50041047OH0030072

Choice Bronze HSAHMOExpanded Bronze$7,95041047OH0010045

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,95041047OH0030045

Everyday BronzeHMOExpanded Bronze$9,35041047OH0010057

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35041047OH0030057

Ambetter Health · Indiana

18 plans · HMO

Not accepting new patientsDeductible $0 to $9,350

Elite GoldHMOGold$035065IN0040007

Elite Gold + Vision + Adult DentalHMOGold$035065IN0050006

Complete GoldHMOGold$1,45035065IN0040004

Complete Gold + Vision + Adult DentalHMOGold$1,45035065IN0050003

Signature GoldHMOGold$2,50035065IN0040013

Signature Gold + Vision + Adult DentalHMOGold$2,50035065IN0050012

Enhanced Diabetes Care Silver $0 Rx OptionsHMOSilver$5,00035065IN0040019

Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalHMOSilver$5,00035065IN0050017

Focused SilverHMOSilver$6,30035065IN0040010

Focused Silver + Vision + Adult DentalHMOSilver$6,30035065IN0050009

Signature SilverHMOSilver$6,40035065IN0040001

Signature Silver + Vision + Adult DentalHMOSilver$6,40035065IN0050001

Signature Expanded BronzeHMOExpanded Bronze$7,50035065IN0040017

Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50035065IN0050015

Choice Bronze HSAHMOExpanded Bronze$7,95035065IN0040015

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,95035065IN0050013

Everyday BronzeHMOExpanded Bronze$9,35035065IN0040016

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35035065IN0050014

Ambetter Health · Kentucky

16 plans · HMO

Not accepting new patientsDeductible $800 to $8,450

Everyday GoldHMOGold$80072001KY0020010

Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010

Complete GoldHMOGold$1,45072001KY0020009

Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012

Complete SilverHMOSilver$5,95072001KY0020005

Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005

Focused SilverHMOSilver$6,30072001KY0020007

Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007

Clear SilverHMOSilver$7,00072001KY0020006

Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013

Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002

Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

Ambetter Health · Michigan

15 plans · HMO

Not accepting new patientsDeductible $0 to $7,950

Everyday GoldHMOGold$80058594MI0030020

Everyday Gold + Vision + Adult DentalHMOGold$80058594MI0040020

Apex GoldHMOGold$1,50058594MI0030026

Apex Gold + Vision + Adult DentalHMOGold$1,50058594MI0040012

Signature GoldHMOGold$2,50058594MI0030025

Signature Gold + Vision + Adult DentalHMOGold$2,50058594MI0040026

Elite SilverHMOSilver$058594MI0030029

Elite Silver + Vision + Adult DentalHMOSilver$058594MI0040029

Streamlined SilverHMOSilver$4,70058594MI0030012

Signature SilverHMOSilver$6,40058594MI0030024

Signature Silver + Vision + Adult DentalHMOSilver$6,40058594MI0040025

Signature Expanded BronzeHMOExpanded Bronze$7,50058594MI0030011

Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50058594MI0040010

Choice Bronze HSAHMOExpanded Bronze$7,95058594MI0030027

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,95058594MI0040027

Anthem Blue Cross and Blue Shield · Indiana

13 plans · HMO, POS

Deductible $2,500 to $12,000

Anthem Essential and Rx Choice Tiered Network · 7 plans · Participating tier

Anthem Heart Healthy Silver Essential 4500 ($0 Select Drugs + Incentives)HMOSilver$4,50017575IN0990002

Anthem Silver Essential 7000 ($0 Select Drugs + Incentives)HMOSilver$7,00017575IN0990003

Anthem Heart Healthy Bronze Essential 4500 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$4,50017575IN0990007

Anthem Bronze Essential POS 5500 HSA ($0 Select Drugs + Incentives)POSExpanded Bronze$5,50017575IN1000002

Anthem Bronze Essential 6750 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$6,75017575IN0990011

Anthem Bronze Essential 11700 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$11,70017575IN0990010

Anthem Catastrophic Essential HSA (+ Incentives)HMOCatastrophic$12,00017575IN0990004

Anthem Essential and Pharmacy Base Network · 4 plans · Participating tier

Anthem Gold Essential 2500 Standard ($0 Select Drugs + Incentives)HMOGold$2,50017575IN0990006

Anthem Silver Essential 6400 Standard ($0 Select Drugs + Incentives)HMOSilver$6,40017575IN0990005

Anthem Bronze Essential 7500 HSA Standard ($0 Select Drugs + Incentives)HMOExpanded Bronze$7,50017575IN0990009

Anthem Bronze Essential POS 7500 HSA Standard ($0 Select Drugs + Incentives)POSExpanded Bronze$7,50017575IN1000001

Anthem Essential, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Select Drugs + Incentives)HMOSilver$7,00017575IN0990001

Anthem Bronze Essential 11700 HSA Adult Dental/Vision ($0 Select Drugs + Incentives)HMOExpanded Bronze$11,70017575IN0990008

Ambetter Health · Illinois

11 plans · HMO

Not accepting new patientsDeductible $800 to $7,000

Everyday GoldHMOGold$80027833IL0140064

Everyday Gold + Vision + Adult DentalHMOGold$80027833IL0150059

Central GoldHMOGold$1,00027833IL0140071

Central Gold + Vision + Adult DentalHMOGold$1,00027833IL0150071

Standard GoldHMOGold$2,00027833IL0140075

Standard Gold + Vision + Adult DentalHMOGold$2,00027833IL0150074

Standard SilverHMOSilver$6,00027833IL0140074

Standard Silver + Vision + Adult DentalHMOSilver$6,00027833IL0150073

Focused SilverHMOSilver$6,30027833IL0140063

Focused Silver + Vision + Adult DentalHMOSilver$6,30027833IL0150058

Clear SilverHMOSilver$7,00027833IL0140061

Anthem Blue Cross and Blue Shield · Wisconsin

8 plans · HMO

Deductible $0 to $8,000

Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier

Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)HMOSilver$4,00079475WI0550104

Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)HMOSilver$5,50079475WI0550102

Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$079475WI0550101

Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)HMOExpanded Bronze$5,00079475WI0550103

Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$8,00079475WI0550106

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)HMOGold$2,50079475WI0550107

Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)HMOSilver$6,40079475WI0550108

Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)HMOExpanded Bronze$7,50079475WI0550105

Questions about Dr. Shrestha’s insurance

Does Dr. Shrestha take Oscar Health?

For Tennessee Marketplace plans, yes: Oscar Health includes Dr. Shrestha in 19 plans for 2027. Call the office at (731) 423-1932 to confirm your plan before booking.

Do I need a referral to see Dr. Shrestha?

Not under the Tennessee plans that list Dr. Shrestha: the 2027 plan files say a specialist referral is not required.

Does Dr. Shrestha accept Medicare?

Yes. CMS files show Dr. Shrestha accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Oscar Health: Nov 5, 2026 Anthem Blue Cross and Blue Shield: Nov 5, 2026 Ambetter Health: Nov 4, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2027, Oct 20, 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Illinois and Kentucky. No document links.	Plan year 2027, Jun 3, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.