Individual provider Active NPI

Jenisa Shrestha, MD

  • Emergency Medicine Physician
  • Jackson, TN
National Provider Identifier
1275107708
Registry record updated Oct 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
71257 Issued in TN
Practice address
294 Summar Dr
Jackson, TN 38301-3915
Phone
(731) 423-1932
NPI assigned
May 19, 2021
Last updated
Oct 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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, IN3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240829004260 MI Practitioner - Family Practice 8325448020 Reassigns benefits to 1 organization
I20241012000180 TN Practitioner - Family PracticePractitioner - Emergency Medicine 8325448020 Reassigns benefits to 2 organizations
I20250926000453 IN Practitioner - Family Practice 8325448020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WT University Medical Associates IncGroup PAC ID 3779824719, 14 clinicians
Emergency Medical Care Facilities PCGroup PAC ID 6103837877, 57 clinicians
Community Care Network IncGroup PAC ID 3678737012, 378 clinicians
Clarksville Emergency Group PCGroup PAC ID 6507277423, 149 clinicians

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

LicenseStateTypeSpecialty
01097986AINMDFamily Medicine Physician
4301509835MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clarksville Emergency Group, PC Emergency Medicine CurrentSince Nov 10, 2025 Accepting new patients
WT University Medical Associates Inc Family Medicine CurrentSince Sep 1, 2024 Accepting new patients
Community Care Network Inc Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Emergency Medical Care Facilities PC Emergency Medicine CurrentSince Sep 24, 2024 Accepting new patients
Covenant Medical Center, Inc Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
University of Tennessee Family Medicine Current Accepting new patients
Covenant Medical Center, Inc. CurrentSince Aug 1, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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": "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

Verify at the official NPI Registry.