NPIMap

Individual provider Active NPI

Jennifer Hughes Shuemaker, M.D.

  • Nephrology Physician
  • Bowling Green, KY
National Provider Identifier
1174784466
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
46543 Issued in KY
Practice address
720 2ND Ave Ste 203
Bowling Green, KY 42101-1778
Phone
(270) 843-5114
Fax
(270) 745-1230
NPI assigned
Jun 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 46543 KY Primary

Addresses

Primary practice location

720 2ND Ave Ste 203
Bowling Green, KY 42101-1778

Mailing address

720 2ND Ave Ste 203
Bowling Green, KY 42101-1778
Phone (270) 843-5114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20131029000581 KY Practitioner - NephrologyPractitioner - Internal Medicine 0345486213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Louisville School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Kentucky Nephrology Associates PSCGroup PAC ID 4183654643, 7 clinicians

Practice addresses (Care Compare)

720 2ND Ave
Bowling Green, KY 42101-1778
Phone (270) 843-5114

720 E 2ND Ave
Suite 203
Bowling Green, KY 42101-1785

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.3 of 100Reported as group
Quality
74.59
Promoting interoperability
100
Improvement activities
40
Cost
68.87

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
88.81
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
46543KYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Kentucky Nephrology Associates PSC Nephrology CurrentSince Nov 1, 2013 Accepting new patients
T J Samson Community Hospital CurrentSince Aug 28, 2020 Accepting new patients
Jay Tomes Davis, MD, Obstetrics & Gynecology PSC Past Accepting new patients

Locations

720 2nd Ave
Ste 203
Bowling Green, KY 42101
Phone (270) 843-5114

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

Interoperability endpoints

  • Direct secure messaging: jennifershuemaker@xskn.ssdirect.aprima.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1174784466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 2ND AVE STE 203",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421011778",
            "telephone_number": "270-843-5114",
            "fax_number": "270-745-1230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUEMAKER",
        "first_name": "JENNIFER",
        "middle_name": "HUGHES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-19",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "KY",
            "license": "46543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowling Green, KY

Sources for this page

Verify at the official NPI Registry.