Individual provider Active NPI

Jeni Anne Shull Clayton, M.D., M.P.H.

  • Family Medicine Physician
  • Westfield, IN
National Provider Identifier
1093006496
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01076037A Issued in IN
Practice address
19800 East St Ste 120
Westfield, IN 46074-3833
Phone
(463) 622-9850
Fax
(463) 622-9851
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 01076037A IN
Family Medicine Physician 207Q00000X 01076037A IN Primary

Addresses

Primary practice location

19800 East St Ste 120
Westfield, IN 46074-3833

Mailing address

6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890

Other practice location 1

100 N Walnut St
Seymour, IN 47274-2192
Phone (812) 523-5185

Other names 1

  • Dr. Jeni Anne Shull Former name

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190326001531 IN Practitioner - Obstetrics/GynecologyPractitioner - Family PracticePractitioner - Preventive Medicine 8921348103 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Indiana University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Riverview HospitalGroup PAC ID 1153216627, 209 clinicians

Practice addresses (Care Compare)

14540 Prairie Lakes Blvd N
Suite 102
Noblesville, IN 46060-4370
Phone (317) 770-9353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
01076037AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Riverview Hospital CurrentSince Aug 10, 2021 Accepting new patients
Riverview Hospital Family Medicine CurrentSince Aug 10, 2021 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients

Locations

395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136

Interoperability endpoints

  • Direct secure messaging: jclayton1176050@directc.mercy.net

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1093006496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6626 E 75TH ST STE 500",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462502890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 EAST ST STE 120",
            "city": "WESTFIELD",
            "state": "IN",
            "postal_code": "460743833",
            "telephone_number": "463-622-9850",
            "fax_number": "463-622-9851"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "IN",
            "postal_code": "472742192",
            "country_code": "US",
            "telephone_number": "812-523-5185",
            "fax_number": "812-523-3826",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHULL CLAYTON",
        "first_name": "JENI",
        "middle_name": "ANNE",
        "name_prefix": "Mrs.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-20",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "IN",
            "license": "01076037A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01076037A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENI",
            "last_name": "SHULL",
            "middle_name": "ANNE",
            "prefix": "DR.",
            "credential": "M.D., M.P.H.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Westfield, IN

Sources for this page

Verify at the official NPI Registry.