Active NPI
Jeni Anne Shull Clayton, M.D., M.P.H.
- Family Medicine Physician
- Westfield, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01076037A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
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
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 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01076037A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverview Hospital | Current | Accepting new patients | |
| Riverview Hospital | Family Medicine | Current | Accepting new patients |
| Seymour Indiana Pathologists, Inc | Past | Accepting new patients |
Locations
395 Westfield Rd
Noblesville, IN 46060
Phone (317) 218-3136
Interoperability endpoints
- 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.
-
- Family Medicine Physician
- Noblesville, IN
- NPI 1609074921
-
- Skilled Nursing Facility
- Indianapolis, IN
- NPI 1831164995
-
- Anatomic Pathology & Clinical Pathology Physician
- Seymour, IN
- NPI 1124237987
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Noblesville, IN
- NPI 1700883717
-
- Home Health Agency
- Noblesville, IN
- NPI 1598872939
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.