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

Active since December 02, 2019Opted out of Medicare · through Oct 1, 2026
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: August 02, 2026.

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 has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

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

ⓘ

Opted out of Medicare

Jennifer Ann Shade has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2024 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2024
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
Quality87.73
Promoting Interoperability82
Improvement Activities40
Cost71.28

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 4

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)
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409
Mohave County (928) 753-9383
OVERCOME COUNSELING PLLC
Counselor (Mental Health)
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409
Mohave County (928) 753-9383
TOTAL MIND & BODY
Nurse Practitioner (Psychiatric/Mental Health)
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409
Mohave County (928) 351-4763
DEANNA MARIE BUCHANAN PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1740 E BEVERLY AVE STE B
KINGMAN, AZ 86409
Mohave County (928) 351-4763

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 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.

Where is Jennifer Shade located?

Jennifer Shade practices at 1740 E Beverly Ave Ste B, Kingman, AZ 86409. The listed phone number is (928) 263-1335.

What is Jennifer Shade's specialty?

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

Is Jennifer Shade enrolled in Medicare?

No. Jennifer Shade has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Jennifer Shade accept?

Health plans from Blue Cross Blue Shield of Arizona list Jennifer Shade 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 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.