Jayce Shaffer

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680119794 Issued in MI

Practice address

1030 Miners Rd Ste C
Saint Joseph, MI 49085-9709

Phone

(269) 235-9083

NPI assigned

Jun 1, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sunflower Therapy Centers Inc

  • Speech-Language Pathologist
  • Saint Joseph, MI
  • NPI 1952099715

  Multi-Specialty

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1003748484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6802 RYNO RD",
            "city": "COLOMA",
            "state": "MI",
            "postal_code": "490388725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 MINERS RD STE C",
            "city": "SAINT JOSEPH",
            "state": "MI",
            "postal_code": "490859709",
            "telephone_number": "269-235-9083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JAYCE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680119794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senior Nursing Care Services, Inc.
• Tugba Serbest, DO
• Bernadito F. Servillas, MD
• Esther R Servillas, MD
• Ryan Douglas Shafer
• Aanal Shah, FNP-C
• Ami Shah, MD
• Mukund Shah, M.D.
• Riddhi Jay Shah, D.O.
• Shannon L Groh, Ma, LPC Counseling, PLLC

• Clinical Social Worker in Saint Joseph, MI
• Providers in Saint Joseph, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.