Jessica Lee Shaffer, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

71008066A Issued in IN

Practice address

313 Western Blvd Ste F
Greenwood, IN 46142-9217

Phone

(317) 708-0798

NPI assigned

Jan 18, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jshaffer41801@ecommunitydirect.com

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.

• Community Physicians of Indiana Inc

  • Family Medicine Physician
  • Indianapolis, IN
  • NPI 1619105244
  Medicare reassignment NPD
• Hoosier Rehabilitation Specialists

  • Physical Medicine & Rehabilitation Physician
  • Bargersville, IN
  • NPI 1639947393
  Medicare reassignment NPD
• Shaffer Holdings, LLC

  dba Elevate Health

  • Clinic/Center
  • Greenwood, IN
  • NPI 1982439097
  NPD Authorized official
• Community Physicians of Indiana Inc

  dba Community Physician Network

  • Endocrinology, Diabetes & Metabolism Physician
  • Carmel, IN
  • NPI 1992396337
  NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1053829507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 WESTERN BLVD STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429217",
            "telephone_number": "317-708-0798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 WESTERN BLVD STE F",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461429217",
            "telephone_number": "317-708-0798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 US 31 South",
            "address_purpose": "LOCATION",
            "city": "Greenwood",
            "state": "IN",
            "postal_code": "46143",
            "country_code": "US",
            "telephone_number": "317-883-0567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-18",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "IN",
            "license": "28185492A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71008066A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshaffer41801@eCommunityDirect.com",
            "affiliation": "Y",
            "affiliationName": "Community Physicians of Indiana Inc",
            "address_1": "700 US 31 South",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "46143",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jess.shaffer@elevatehealthcg.com",
            "affiliation": "N",
            "address_1": "313 Western Blvd Ste F",
            "city": "Greenwood",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461429217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Anna Ostrovsky Shachaf
• Shadeland Anesthesia & Pain Associates Inc. (Center for Pain Management)
• Lauren Rose Shadiow, PA
• Shady Grove Behavioral Health, LLC
• Shaffer Holdings, LLC (Elevate Health)
• Shannon Rae Shaffer, MA, CCC-SLP
• Stacy Shaffer, RBT
• Haider Raza Shah, MD
• Kushal J Shah, M.D.
• Palak V Shah, MSPEX, PT, CPMT

• Nurse Practitioner in Greenwood, IN
• Providers in Greenwood, IN by specialty
• Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.