Individual provider Active NPI

Jennifer N Shinners, MD

  • Specialist
  • Scarborough, ME
National Provider Identifier
1407062755
Registry record updated Jan 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
017424 Issued in ME
Practice address
71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Phone
(207) 885-8400
Fax
(207) 885-8499
NPI assigned
May 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 017424 ME Primary

Addresses

Primary practice location

71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375

Mailing address

71 U.S. Route One, Suite a
Elevation Center
Scarborough, ME 04074-9375
Phone (207) 885-8400

Other identifiers 1

IdentifierTypeStateIssuer
117580000MedicaidME

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20070823000251 ME Practitioner - Obstetrics/Gynecology 4486746377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Vermont College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Women'S HealthcareGroup PAC ID 4385738087, 17 clinicians

Practice addresses (Care Compare)

71 US Route 1
Suite a
Scarborough, ME 04074-7168
Phone (207) 885-8400

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
017424MEMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Women'S Healthcare Specialist CurrentSince Aug 6, 2007 Accepting new patients

Locations

71 US Route 1
Ste A
Scarborough, ME 04074
Phone (207) 885-8400

Interoperability endpoints

  • Direct secure messaging: jshinners1@coastalwomenshealthcare.gwaydirect.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358294400000",
    "number": "1407062755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 U.S. ROUTE ONE, SUITE A",
            "address_2": "ELEVATION CENTER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 U.S. ROUTE ONE, SUITE A",
            "address_2": "ELEVATION CENTER",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040749375",
            "telephone_number": "207-885-8400",
            "fax_number": "207-885-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHINNERS",
        "first_name": "JENNIFER",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2013-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "017424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117580000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarborough, ME

Sources for this page

Verify at the official NPI Registry.