Individual provider Active NPI

Shelley Lynne Janssen, M.D.

  • Family Medicine Physician
  • Klamath Falls, OR
National Provider Identifier
1124089693
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD228736 Issued in OR
Practice address
2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone
(541) 841-8110
Fax
(541) 851-8114
NPI assigned
Mar 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 99-00262 NC
Family Medicine Physician 207Q00000X MD228736 OR Primary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 32144 SC

Addresses

Primary practice location

2074 S 6TH St
Klamath Falls, OR 97601-3372

Mailing address

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 841-8110

Other practice location 1

3013 Summers Ln
Klamath Falls, OR 97603-6705
Phone (541) 887-8189

Other practice location 2

103 S Wasco Ave
Chiloquin, OR 97624-7002
Phone (541) 783-2292

Other practice location 3

2601 Rosewood Dr
Columbia, SC 29205-3745
Phone (803) 782-4051

Other practice location 4

403 Pine St
Klamath Falls, OR 97601-6020
Phone (541) 851-8110

Other identifiers 1

IdentifierTypeStateIssuer
891196GMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, OR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100107000598 SC Practitioner - Family PracticePractitioner - Pediatric MedicinePractitioner - Infectious Disease 4284608399 Reassigns benefits to 1 organization
I20260218002102 OR Practitioner - Family Practice 4284608399 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Infectious Disease
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Klamath Health Partnership IncGroup PAC ID 2264334051, 22 clinicians
Novant Health Urgent Cares LLCGroup PAC ID 8628502598, 183 clinicians

Practice addresses (Care Compare)

2074 S 6TH St
Klamath Falls, OR 97601-3372
Phone (541) 880-2011

2601 Rosewood Dr
Columbia, SC 29205-3745
Phone (803) 782-4051

403 Pine St
Klamath Falls, OR 97601-6020
Phone (541) 851-8110

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
99-00262NCMDFamily Medicine Physician
MD228736ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Klamath Health Partnership Inc Single Specialty CurrentSince Feb 3, 2026 Accepting new patients
Novant Health Urgent Cares LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients

Locations

2074 S 6th St
Klamath Falls, OR 97601
Phone (541) 851-8110

3013 Summers Ln
Klamath Falls, OR 97603
Phone (541) 880-2011

403 Pine St
Klamath Falls, OR 97601
Phone (541) 851-8110

6167 Braided Mane Pass SW
Aiken, SC 29803
Phone (803) 502-1484

1014 Saint Andrews Blvd
Charleston, SC 29407
Phone (843) 556-5585

2601 Rosewood Dr
Columbia, SC 29205
Phone (803) 782-4051

100 Jimmy Love Ln
Columbia, SC 29212
Phone (803) 731-4055

4500 Forest Dr
Columbia, SC 29206
Phone (803) 738-9522

Organizations & group practices 2

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": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1124089693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-841-8110",
            "fax_number": "541-851-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 S 6TH ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976013372",
            "telephone_number": "541-841-8110",
            "fax_number": "541-851-8114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3013 Summers Ln",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976036705",
            "country_code": "US",
            "telephone_number": "541-887-8189",
            "fax_number": "541-851-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "103 S Wasco Ave",
            "address_purpose": "LOCATION",
            "city": "Chiloquin",
            "state": "OR",
            "postal_code": "976247002",
            "country_code": "US",
            "telephone_number": "541-783-2292",
            "fax_number": "541-851-8114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2601 Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292053745",
            "country_code": "US",
            "telephone_number": "803-782-4051",
            "fax_number": "803-790-6612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 Pine St",
            "address_purpose": "LOCATION",
            "city": "Klamath Falls",
            "state": "OR",
            "postal_code": "976016020",
            "country_code": "US",
            "telephone_number": "541-851-8110",
            "fax_number": "541-851-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANSSEN",
        "first_name": "SHELLEY",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-31",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "99-00262",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD228736",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "32144",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891196G",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath Falls, OR

Sources for this page

Verify at the official NPI Registry.