Active NPI
Jenisa Shrestha, MD
- Emergency Medicine Physician
- Jackson, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 71257
- Practice address
- 294 Summar Dr
Jackson, TN 38301-3915 - Phone
- (731) 423-1932
- NPI assigned
- May 19, 2021
- Last updated
- Oct 5, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01097986A | IN | |
| Emergency Medicine Physician | 207P00000X | 71257 | TN | Primary |
| Family Medicine Physician | 207Q00000X | 4301509835 | MI | |
| Family Medicine Physician | 207Q00000X | 01097986A | IN |
Addresses
Primary practice location
294 Summar Dr
Jackson, TN 38301-3915
Mailing address
294 Summar Dr
Jackson, TN 38301-3915
Other practice location 1
515 N Michigan Ave
Saginaw, MI 48602-4316
Phone (989) 583-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, TN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
294 Summar Dr
Jackson, TN 38301-3915
Phone (731) 423-1932
620 Skyline Dr
Jackson, TN 38301-3923
Phone (731) 541-5000
7651 Harvest Dr
Schererville, IN 46375-3476
Phone (219) 322-5723
770 Indian Boundary Rd
Chesterton, IN 46304-1519
Phone (219) 921-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01097986A | IN | MD | Family Medicine Physician |
| 4301509835 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarksville Emergency Group, PC | Emergency Medicine | Current | Accepting new patients |
| WT University Medical Associates Inc | Family Medicine | Current | Accepting new patients |
| Community Care Network Inc | Family Medicine | Current | Accepting new patients |
| Emergency Medical Care Facilities PC | Emergency Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc | Family Medicine | Current | Accepting new patients |
| University of Tennessee | Family Medicine | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Emergency Medicine | Current | Accepting new patients |
Locations
770 Indian Boundary Rd
Chesterton, IN 46304
Phone (219) 595-0630
1141 Hospital Dr NW
Corydon, IN 47112
Phone (812) 738-7830
8558 Broadway
Merrillville, IN 46410
Phone (219) 392-7084
3500 Franciscan Way
Michigan City, IN 46360
Phone (219) 852-1524
9130 Columbia Ave
Ste A
Munster, IN 46321
Phone (219) 365-1166
9660 Wicker Ave
Saint John, IN 46373
Phone (219) 226-2203
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
16440 Gratiot Rd
Hemlock, MI 48626
Phone (989) 583-0660
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
515 N Michigan Ave
Saginaw, MI 48602
Phone (989) 583-2701
5570 State St
Saginaw, MI 48603
Phone (989) 583-0100
650 Nuckolls Rd
Bolivar, TN 38008
Phone (731) 541-6834
175 Hospital Dr
Camden, TN 38320
Phone (731) 584-6135
294 Summar Dr
Jackson, TN 38301
Phone (731) 423-1932
367 Hospital Blvd
Jackson, TN 38305
Phone (731) 661-2000
620 Skyline Dr
Jackson, TN 38301
Phone (731) 541-4923
700 W Forest Ave
Fl 5
Jackson, TN 38301
Phone (731) 423-1932
161 Mount Pelia Rd
Martin, TN 38237
Phone (731) 587-4261
4039 Highland St
Ste 1
Milan, TN 38358
Phone (731) 723-3668
Interoperability endpoints
- jshrestha153015@direct.covenanthealthcare.com
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Jackson, TN
- NPI 1538345855
-
dba West Tennessee Medical Group UT Medicine
- Family Medicine Physician
- Jackson, TN
- NPI 1023572344
-
- Emergency Medicine Physician
- Corydon, IN
- NPI 1023487154
-
dba Powers Health Medical Group
- Family Medicine Physician
- Saint John, IN
- NPI 1457610487
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Family Medicine Physician
- Jackson, TN
- NPI 1780686436
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
-
- Urgent Care Clinic/Center
- Saginaw, MI
- NPI 1831244466
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba West Tennessee Healthcare Bolivar Hospital
- Critical Access Hospital
- Bolivar, TN
- NPI 1518957950
-
- General Acute Care Hospital
- Jackson, TN
- NPI 1093705428
-
dba West Tennessee Healthcare Milan Hospital
- General Acute Care Hospital
- Milan, TN
- NPI 1699765453
-
dba Franciscan Health Michigan City at La Porte
- General Acute Care Hospital
- La Porte, IN
- NPI 1679336747
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
-
dba Community Hospital
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759622400000",
"number": "1275107708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "294 SUMMAR DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383013915",
"telephone_number": "731-423-1932"
}
],
"practiceLocations": [
{
"address_1": "515 N Michigan Ave",
"address_purpose": "LOCATION",
"city": "Saginaw",
"state": "MI",
"postal_code": "486024316",
"country_code": "US",
"telephone_number": "989-583-0000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHRESTHA",
"first_name": "JENISA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-19",
"last_updated": "2025-10-05",
"certification_date": "2025-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01097986A",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TN",
"license": "71257",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301509835",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01097986A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2025; 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.