DR. JENNIFER LYNN SHEFFIELD MD
NPI 1497987812
Family Medicine in Platte, SD

Q: What is Jennifer Sheffield's NPI number?

The NPI number for Jennifer Sheffield is 1497987812. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Q: What is Jennifer Sheffield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since August 18, 2009PECOS EnrolledAccepts Medicare Assignment

61.97/100

CMS Quality Rating

601 E 7TH ST, PLATTE, SD 57369(605) 337-1501(605) 337-1514 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 25, 2024, Jun 24, 2024, Jun 11, 2019 (3 updates tracked since 2019).

On this page

About Dr. Jennifer Lynn Sheffield Md NPPES

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

DR. JENNIFER LYNN SHEFFIELD MD (NPI 1497987812) is an individual family medicine provider in Platte, South Dakota, licensed in South Dakota (11479) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS, is affiliated with Avera Mckennan Hospital & University Health Center, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1497987812

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JENNIFER LYNN SHEFFIELDCredential: MD

Location Address601 E 7TH STPlatte, SD 57369-2123

Mailing Address601 E 7th StPlatte, SD 57369-2123 · (605) 337-1501 · Fax (605) 337-1514

Phone(605) 337-1501

Fax(605) 337-1514

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateAugust 18, 2009

Last NPPES UpdateJuly 25, 20243 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1497987812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in SD · 11479✔ Licensed in ND · 12484✔ Licensed in MN · 65569✔ Licensed in TN · 69549

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

601 E 7TH ST, Platte, SD 57369

Open in Google Maps ↗

Other Identifiers 2

Medicaid000017243ND

Medicaid1456192SD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Sunflower Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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

Dr. Jennifer Lynn Sheffield Md 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 ID4183874928

PECOS Enrollment IDI20240716003524

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 Reassignments

Medicare enrollment records show Jennifer Sheffield reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Platte Community Memorial Hospital Inc.

Same address

Rural Health

601 E 7TH ST, STE 3
Platte, SD 57369

Reassigned Medicare billing, South Dakota enrollment
Also billed through NPI 1235133109 (South Dakota)
11 clinicians in this Medicare group

NPI 1629072400 (605) 337-3364

Hopewell Family Care- Integrative Medicine PLLC

817 mi

Primary Care

5045 OLD HICKORY BLVD STE 203
Hermitage, TN 37076

Reassigned Medicare billing, Tennessee enrollment
6 clinicians in this Medicare group

NPI 1083010383 (615) 993-3633

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

Areas of Expertise CMS Part B claims 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

31 services17 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Avera Mckennan Hospital & University Health Center

Acute Care Hospitals · Sioux Falls, SD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number430016

Location1325 S Cliff AveSioux Falls, SD 57117 · Minnehaha County

Emergency services Birthing friendly

Douglas County Memorial Hospital-Cah

Critical Access Hospitals · Armour, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431305

Location708 8th StArmour, SD 57313 · Douglas County

Emergency services

Platte Health Center

Critical Access Hospitals · Platte, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431306

Location601 E 7th St Post Office Box 200Platte, SD 57369 · Charles Mix County

Emergency services

Avera Queen Of Peace

Critical Access Hospitals · Mitchell, SD

OwnershipVoluntary non-profit - Private

CMS Certification Number431340

Location525 N FosterMitchell, SD 57301 · Davison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 57369 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

$85.21 typical visit price

range $55.52 – $167.23

Typical copayment $21.30 (range $13.88 – $41.80)

Most-billed visit code 99203

Established Patient

$97.88 typical visit price

range $18.08 – $137.08

Typical copayment $24.47 (range $4.52 – $34.27)

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.

61.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

53.1

Improvement Activities

Other Providers at the Same Location NPPES 20

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

JENNIFER FREDERIKSEN MD

Family Medicine

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

APRIL MARIE VEURINK FNP-C

Nurse Practitioner (Family)

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

PLATTE COMMUNITY MEMORIAL HOSPITAL, INC.

Family Medicine

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

HAU VAN TRAN DO

Family Medicine

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-1501

STEPHANIE LEADER CNP

Nurse Practitioner (Family)

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-1503

RICK STOLTENBURG PA

Physician Assistant (Medical)

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

PLATTE COMMUNITY MEMORIAL HOSPITAL INC

General Acute Care Hospital (Critical Access)

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

MARK PETERSEN PT,DPT,OCS,ATC

Physical Therapist

601 E 7TH ST
PLATTE, SD 57369

Charles Mix County (605) 337-3364

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 Sheffield's NPI number?

The NPI number for Jennifer Sheffield is 1497987812. It was assigned to this individual provider in the NPPES registry on August 18, 2009.

Where is Jennifer Sheffield located?

Jennifer Sheffield practices at 601 E 7th St, Platte, SD 57369. The listed phone number is (605) 337-1501.

What is Jennifer Sheffield's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jennifer Sheffield enrolled in Medicare?

Yes. Jennifer Sheffield 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 organizations bill Medicare for Jennifer Sheffield's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Sheffield reassigns Medicare benefits to 2 organizations: Platte Community Memorial Hospital Inc. (Platte, SD) and Hopewell Family Care- Integrative Medicine PLLC (Hermitage, TN). Each 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 Sheffield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jennifer Sheffield accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Sunflower Health Plan and Wellmark of South Dakota, Inc. list Jennifer Sheffield 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.

Is Jennifer Sheffield affiliated with any hospitals?

According to CMS data, Jennifer Sheffield is affiliated with Avera Mckennan Hospital & University Health Center, Douglas County Memorial Hospital-Cah, Platte Health Center and Avera Queen Of Peace.

When was this NPI record last updated?

The NPPES record for Jennifer Sheffield was last updated on July 25, 2024. 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.