Jennifer Archey Shetters, APN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

APN0000016420 Issued in TN

Practice address

601 NW Atlantic St
Tullahoma, TN 37388-3536

Phone

(931) 393-2245

Fax

(931) 393-2247

NPI assigned

Mar 5, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Vanderbilt University School of Medicine, 2011

Medicare assignment

May accept Medicare assignment

Group practices

Spectrum Medical AssociatesGroup PAC ID 0749182251, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Vanderbilt Tullahoma-Harton Hospital Hospital, Tullahoma, TN, CCN 440144
• Southern Tennessee Regional Health System Winchest Hospital, Winchester, TN, CCN 440058

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EGFGBA/Endpoint/EGFGBA

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.

• Spectrum Medical Associates

  • Family Medicine Physician
  • Tullahoma, TN
  • NPI 1548458573

  TN

  Medicare reassignment Care Compare group NPD

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

• Southern Tennessee Medical Center LLC

  • General Acute Care Hospital
  • Winchester, TN
  • NPI 1467408781

  Hospital

  Care Compare affiliation
• Vanderbilt Coffee Hospital, LLC

  • General Acute Care Hospital
  • Tullahoma, TN
  • NPI 1831798719

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1330905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1194099358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106N JACKSON ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882208",
            "telephone_number": "931-455-2045",
            "fax_number": "931-455-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 NW ATLANTIC ST",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373883536",
            "telephone_number": "931-393-2245",
            "fax_number": "931-393-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHETTERS",
        "first_name": "JENNIFER",
        "middle_name": "ARCHEY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-05",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "APN0000016420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelbyville Hospital Company LLC
• Shelbyville Hospital Company LLC
• Mark Christopher Shelton
• Sherry Lee Shepard
• Lesley S Sherman, CRNA
• Hannah Shoffner
• Lauren Taylor Shores, APRN
• Donna Lynn Shoults
• Sandip R Shukla, MD
• Drake Shull

• All providers in Tullahoma, TN
• Adult Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.

Verify at the official NPI Registry.