NPIMap

Individual provider Active NPI

Jennifer R Shafer, M.D.

  • Family Medicine Physician
  • Mount Horeb, WI
National Provider Identifier
1104180298
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
64529-20 Issued in WI
Practice address
600 N 8TH St
Mount Horeb, WI 53572
Phone
(608) 437-3064
Fax
(608) 437-4542
NPI assigned
Jul 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 64529-20 WI Primary

Addresses

Primary practice location

600 N 8TH St
Mount Horeb, WI 53572

Mailing address

7974 Uw Health CT
Middleton, WI 53562-5531

Other practice location 1

4600 Valley Road
Suite 200
Lincoln, NE 68510-4882
Phone (402) 483-4571

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jshafer1031300@direct.uwhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915001322 WI Practitioner - Family Practice 6608007638 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of Wisconsin Medical Foundation IncGroup PAC ID 6608785464, 2,537 clinicians

Practice addresses (Care Compare)

600 N 8TH St
Mount Horeb, WI 53572-1870
Phone (608) 437-3064

Hospital & facility affiliations

  • Transitions at Home of Western Wisconsin Home health agency, Mount Horeb, WI, CCN 527341
  • Uw Health Care Direct Home health agency, Middleton, WI, CCN 527220
  • Agrace Hospicecare Hospice, Madison, WI, CCN 521505
  • University of Wi Hospitals & Clinics Authority Hospital, Madison, WI, CCN 520098
  • Sauk Prairie Hospital Hospital, Prairie Du Sac, WI, CCN 520095
  • Unitypoint Health - Meriter Hospital, Madison, WI, CCN 520089
  • Ingleside Manor Nursing home, Mount Horeb, WI, CCN 525331
  • Four Winds Manor Nursing home, Verona, WI, CCN 525656

Merit-based Incentive Payment System (MIPS)

Final score
83.32 of 100Reported as group
Quality
87.78
Promoting interoperability
77
Improvement activities
40
Cost
75.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
64529-20WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2019 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 8, 2015 Accepting new patients
Memorial Hospital Inc CurrentSince Sep 8, 2015 Accepting new patients
University of Wisconsin Medical Foundation, Inc CurrentSince Mar 1, 2019 Accepting new patients
University of Wisconsin Medical Foundation Inc Past Accepting new patients

Locations

600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325

7974 Uw Health Ct
Middleton, WI 53562
Phone (608) 829-5270

600 N 8th St
Mount Horeb, WI 53572
Phone (608) 437-3064

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

Organizations & group practices 5

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 9

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": "1341273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1104180298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7974 UW HEALTH CT",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535625531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N 8TH ST",
            "city": "MOUNT HOREB",
            "state": "WI",
            "postal_code": "53572",
            "telephone_number": "608-437-3064",
            "fax_number": "608-437-4542"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4600 VALLEY ROAD",
            "address_2": "SUITE 200",
            "address_purpose": "LOCATION",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685104882",
            "country_code": "US",
            "telephone_number": "402-483-4571",
            "fax_number": "402-483-5079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFER",
        "first_name": "JENNIFER",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-03",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "64529-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jshafer1031300@direct.uwhealth.org",
            "affiliation": "N",
            "address_1": "600 N 8th St",
            "city": "Mount Horeb",
            "state": "WI",
            "country_code": "US",
            "postal_code": "53572",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Horeb, WI

Sources for this page

Verify at the official NPI Registry.