JENNIFER ANN SHADE
NPI 1922645696
Nurse Practitioner - Primary Care in Kingman, AZ

Q: What is Jennifer Shade's NPI number?

The NPI number for Jennifer Shade is 1922645696. It was assigned to this individual provider in the NPPES registry on December 2, 2019. The provider is also known as Jennifer Ann Giffin Fnp.

Q: What is Jennifer Shade's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Shade was last updated on March 16, 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.

Active since December 02, 2019PECOS Enrolled

83.2/100

CMS Quality Rating

1740 E BEVERLY AVE STE B, KINGMAN, AZ 86409(928) 263-1335(928) 272-0173 Get Directions Write a Review

NPPES record last updated: March 16, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Jennifer Ann Shade NPPES

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

JENNIFER ANN SHADE (NPI 1922645696) is an individual primary care provider in Kingman, Arizona, licensed in Arizona (RN164008) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922645696

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameJENNIFER ANN SHADE

Location Address1740 E BEVERLY AVE STE BKingman, AZ 86409-3564

Mailing Address1740 E Beverly Ave Ste BKingman, AZ 86409-3564 · (928) 263-1335 · Fax (928) 272-0173

Phone(928) 263-1335

Fax(928) 272-0173

Sole ProprietorYes

Enumeration DateDecember 2, 2019

Last NPPES UpdateMarch 16, 2024

NPPES CertifiedMarch 16, 2024

✔ NPI 1922645696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP2300X

License✔ Licensed in AZ · RN164008

1740 E BEVERLY AVE STE B, Kingman, AZ 86409

Open in Google Maps ↗

Other Names 1

Former Name (1)Jennifer Ann Giffin Fnp

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

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 Ann Shade 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86409 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

83.2/100

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

Scored as part of a group practice

Quality

87.73

Promoting Interoperability

Improvement Activities

Cost

71.28

Referred Medical Equipment & Supplies CMS DME claims 2

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

Pneumatic compressor, segmental home model without calibrated gradient pressure E0651

DME-Other DME · category DE000N

1 supplier12 claims12 services$874.72 avg. paid by Medicare

Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667

DME-Other DME · category DE000N

1 supplier12 claims24 services$307.91 avg. paid by Medicare

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

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.

MRS. SHAWNDA NICOLE YOUNG MS, LAC, NCC

Counselor (Mental Health)