JENNIFER DAWN SHAFER N.P.
NPI 1366790776
Nurse Practitioner - Family in Marengo, IN

Q: What is Jennifer Shafer's NPI number?

The NPI number for Jennifer Shafer is 1366790776. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Q: What is Jennifer Shafer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Shafer was last updated on December 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 16, 2012PECOS EnrolledAccepts Medicare Assignment

5604 E WHITE OAK LN, MARENGO, IN 47140(812) 365-3221(812) 365-9502 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2020, Aug 31, 2020 (2 updates tracked since 2020).

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About Jennifer Dawn Shafer N.p. NPPES

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

JENNIFER DAWN SHAFER N.P. (NPI 1366790776) is an individual family provider in Marengo, Indiana, licensed in Indiana (71004086A) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS, is affiliated with Harrison County Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1366790776

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJENNIFER DAWN SHAFERCredential: N.P.

Location Address5604 E WHITE OAK LNMarengo, IN 47140-8413

Mailing Address420 W Longest StPaoli, IN 47454-8821 · (812) 723-3944 · Fax (812) 723-7991

Phone(812) 365-3221

Fax(812) 365-9502

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateAugust 16, 2012

Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration

NPPES CertifiedDecember 10, 2020

✔ NPI 1366790776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71004086A

Also ListedRegistered NurseTaxonomy 163W00000X · License 28168433A (IN)

5604 E WHITE OAK LN, Marengo, IN 47140

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Other Identifiers 1

Medicaid201110950IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jennifer Dawn Shafer N.p. 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 ID5698929669

PECOS Enrollment IDI20130129000555

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

83 services70 patients

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

41 services32 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

20 services16 patients

Hospital Affiliations CMS Care Compare

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

Harrison County Hospital

Critical Access Hospitals · Corydon, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number151331

Location1141 Hospital Dr NWCorydon, IN 47112 · Harrison County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47140 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Referred Medical Equipment & Supplies CMS DME claims 9

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

2 suppliers23 claims40 services$6.10 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers43 claims43 services$19.81 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier19 claims19 services$6.96 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers74 claims74 services$112.29 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers16 claims16 services$35.90 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

4 suppliers22 claims2,430 services$0.09 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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Other Providers at the Same Location NPPES 7

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

HOWARD D DETWEILER N. P.

Nurse Practitioner (Adult Health)