Jesse David Sheffield II, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J3221 Issued in TX

Practice address

9821 China Spring Rd
Waco, TX 76708-4800

Phone

(254) 202-7400

Fax

(254) 202-7450

NPI assigned

Feb 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jesse.sheffield@fmc.directbygreenway.com
• Direct secure messaging: jsheffield16189@direct.sw.org

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.

• Adventhealth Family Medicine Rural Health Clinics, Inc.

  • Family Medicine Physician
  • Lampasas, TX
  • NPI 1861050569
  Medicare reassignment NPD

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730419200000",
    "number": "1265408298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 848476",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752848476",
            "telephone_number": "254-202-4655",
            "fax_number": "254-202-4697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9821 CHINA SPRING RD",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767084800",
            "telephone_number": "254-202-7400",
            "fax_number": "254-202-7450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFIELD",
        "first_name": "JESSE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117871704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8H3673",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheala a Lansden DDS PLLC
• Anna Shearn
• Charlie Ann Anderson Sheehan, MSN, APRN, CNM
• Ahmad Zia Shefa, M.D.
• Bobbie Lavonne Shefa, M.D.
• Carri L Shehorn, M.ED. LPC
• Sheltering Arma Residential Treatment Centers, Inc
• John Buford Shelton, MD
• Ashleydawn Sheppard, LPC
• Ginger Elaine Sheppard, LD

• Family Medicine Physician in Waco, TX
• Providers in Waco, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.