Jennifer Shaver, CNP in Baldwin, WI - Medicare Nurse Practitioner

Jennifer Shaver, CNP is a medicare enrolled "Nurse Practitioner - Family" in Baldwin, Wisconsin. Her current practice location is 1100 Bergslien St, Baldwin, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 684-1111.

Jennifer Shaver is licensed to practice in Minnesota (license number 12128) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952121329.

Contact Information

	Jennifer Shaver, CNP
	1100 Bergslien St, Baldwin, WI 54002-2600
	(715) 684-1111
	(715) 684-1194

Map and Direction

Provider's Profile

Full Name	Jennifer Shaver
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1100 Bergslien St, Baldwin, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952121329
Provider Enumeration Date: 10/11/2024
Last Update Date: 04/10/2025

Medicare PECOS Information:

PECOS PAC ID: 6800322280
Enrollment ID: I20241209002473

Medical Identifiers

Medical identifiers for Jennifer Shaver such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952121329	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	15962-33 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	12128 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jennifer Shaver allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Of Minnesota Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407227945 PECOS PAC ID: 7810289949 Enrollment ID: O20160712000184

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 Shaver is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jennifer Shaver, CNP 411 Dakota Ave, Roberts, WI 54023-8535 Ph: (651) 492-9825	Jennifer Shaver, CNP 1100 Bergslien St, Baldwin, WI 54002-2600 Ph: (715) 684-1111

Reviews and Comments

Nurse Practitioner Nurses in Baldwin, WI

Abbey Arndt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Alicia Sund, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1111
Andrea D'angelo, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111
Karissa Hanson, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Erika Holbrook, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119
Emily Veenendaal, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111
Karli Rae Kerrschneider, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1100 Bergslien St, Baldwin, WI 54002 Phone: 715-684-1111 Fax: 715-684-1119

Jennifer Shaver, CNP - Medicare Nurse Practitioner in Baldwin, WI