Jennifer Anne Shealy, NP is a
Nurse Practitioner - Primary Care physician based in Central Point, Oregon. Jennifer Anne Shealy is licensed to practice in Oregon (license number 10045481) and her current practice location is 700 Twin Creeks Xing Ste A, Central Point, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 646-4088.
NPI number for Jennifer Anne Shealy is 1285426361 and her current mailing address is 16412 Lake Shore Dr, Weed, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285426361.
Physician's Profile
| Full Name | Jennifer Anne Shealy |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Primary Care |
|---|
| Location | 700 Twin Creeks Xing Ste A, Central Point, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285426361
- Provider Enumeration Date: 05/22/2025
- Last Update Date: 07/05/2025
Medical Identifiers
Medical identifiers for Jennifer Anne Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285426361 | NPI | - | NPPES |
| 15295 | Other | OR | NURSE PRACTITIONER PRESCRIPTIVE AUTHORITY NUMBER |
| 95035588 | Other | CA | GENERAL PRACTICE |
| 10045481 | Other | OR | OREGON NURSE PRACTITIONER LICENSE |
| 95035588 | Other | CA | CALIFORNIA FURNISHING LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 201508365RN (Oregon) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 95334819 (California) | Secondary |
| 207PE0004X | Emergency Medicine - Emergency Medical Services | 95035588 (California) | Secondary |
| 208D00000X | General Practice | 95334819 (California) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 10045481 (Oregon) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Anne Shealy is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jennifer Anne Shealy, NP
16412 Lake Shore Dr,
Weed, CA 96094-9482
Ph: (801) 725-5789 | Jennifer Anne Shealy, NP
700 Twin Creeks Xing Ste A,
Central Point, OR 97502-8661
Ph: (541) 646-4088 |
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