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MRS. JENNIFER NICOLE SHOULDIS FNP-C
NPI 1427306703
Nurse Practitioner - Family in Charleston, WV

Active since August 17, 2012PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
210 BROOKS ST, SUITE 200, CHARLESTON, WV 25301(304) 388-1930(304) 388-1929 Get Directions Write a Review

NPPES record last updated: May 8, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jennifer Nicole Shouldis Fnp-c NPPES

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

MRS. JENNIFER NICOLE SHOULDIS FNP-C (NPI 1427306703) is an individual family provider in Charleston, West Virginia, licensed in West Virginia (64722) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and is a graduate of Jc Edwards School Of Medicine, Marshall University (2012).

NPPES Registry Identity

NPI1427306703
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JENNIFER NICOLE SHOULDISCredential: FNP-C
Location Address210 BROOKS ST, SUITE 200Charleston, WV 25301-1855
Mailing Address210 Brooks St, Suite 200Charleston, WV 25301-1855 · (304) 388-1930 · Fax (304) 388-1929
Phone(304) 388-1930
Fax(304) 388-1929
Sole ProprietorNo
Medical School CMSJc Edwards School Of Medicine, Marshall UniversityGraduated 2012
Enumeration DateAugust 17, 2012
Last NPPES UpdateMay 8, 2015
✔ NPI 1427306703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WV · 64722
210 BROOKS ST, Charleston, WV 25301
Open in Google Maps ↗

Other Names 1

Other Name (5)Mrs. Jennifer Nicole Harless Fnp-c

Other Identifiers 2

OtherWV1751AWV · Medicare Ptan
Medicaid3810023952WV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Mrs. Jennifer Nicole Shouldis Fnp-c 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 ID42468241
PECOS Enrollment IDI20120913000097
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

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.

DR. WILLIAM A WOOD MD
Plastic Surgery
210 BROOKS ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 388-1930
JOHN DAVID HAYES MD
Surgery (Plastic and Reconstructive Surgery)
210 BROOKS ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 388-1930
WILLIAM AARON ROSS MD
Surgery (Plastic and Reconstructive Surgery)
210 BROOKS ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 388-1930
DR. JASON PRIGOZEN M.D.
Plastic Surgery
210 BROOKS ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 388-1930
CANDY E. ROACH FNP-BC
Nurse Practitioner
210 BROOKS ST, SUITE 200
CHARLESTON, WV 25301
Kanawha County (304) 388-1930

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 Shouldis's NPI number?

The NPI number for Jennifer Shouldis is 1427306703. It was assigned to this individual provider in the NPPES registry on August 17, 2012. The provider is also known as Mrs. Jennifer Nicole Harless Fnp-C.

Where is Jennifer Shouldis located?

Jennifer Shouldis practices at 210 Brooks St Suite 200, Charleston, WV 25301. The listed phone number is (304) 388-1930.

What is Jennifer Shouldis's specialty?

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

Is Jennifer Shouldis enrolled in Medicare?

Yes. Jennifer Shouldis 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.

What insurance does Jennifer Shouldis accept?

Health plans from CareSource list Jennifer Shouldis 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.

When was this NPI record last updated?

The NPPES record for Jennifer Shouldis was last updated on May 8, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.