Jennifer Anne Shealy, NP is a
General Practice physician based in Weed, California. Jennifer Anne Shealy is licensed to practice in California (license number 95334819) and her current practice location is 16412 Lake Shore Dr, Weed, California. She can be reached at her office (for appointments etc.) via phone at
(801) 725-5789.
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 |
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Gender | Female |
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Speciality | General Practice |
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Location | 16412 Lake Shore Dr, Weed, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1285426361
- Provider Enumeration Date: 05/22/2025
- Last Update Date: 05/22/2025
Medical Identifiers
Medical identifiers for Jennifer Anne Shealy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285426361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207PE0004X | Emergency Medicine - Emergency Medical Services | 95334819 (California) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 201508365RN (Oregon) | Secondary |
208D00000X | General Practice | 95334819 (California) | 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 16412 Lake Shore Dr, Weed, CA 96094-9482 Ph: (801) 725-5789 |
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