Individual provider Active NPI

Jenifer Joy Shifferly, FNP-BC

  • Family Nurse Practitioner
  • Beeville, TX
National Provider Identifier
1215787734
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1115446 Issued in TX
Practice address
1500 E Houston St
Beeville, TX 78102-5312
Phone
(361) 354-2008
NPI assigned
Mar 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1115446 TX Primary

Addresses

Primary practice location

1500 E Houston St
Beeville, TX 78102-5312

Mailing address

1500 E Houston St
Beeville, TX 78102-5312
Phone (361) 354-2008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20240911004746 TX Practitioner - Nurse Practitioner 9032659404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Usman Qureshi, MD, PAGroup PAC ID 4486658028, 7 clinicians

Practice addresses (Care Compare)

1008 Medical Ctr Blvd
Alice, TX 78332-4212
Phone (361) 668-4278

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Usman Qureshi, MD, PA CurrentSince Jul 6, 2024 Accepting new patients

Locations

1008 Medical Center Blvd
Alice, TX 78332
Phone (361) 668-4278

1500 E Houston St
Beeville, TX 78102
Phone (361) 354-2000

Interoperability endpoints

  • Direct secure messaging: jshifferly379207@christushealth.direct-ci.net

Organizations & group practices 1

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 3

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1215787734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025312",
            "telephone_number": "361-354-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E HOUSTON ST",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025312",
            "telephone_number": "361-354-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIFFERLY",
        "first_name": "JENIFER",
        "middle_name": "JOY",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-03-26",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1115446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beeville, TX

Sources for this page

Verify at the official NPI Registry.