Individual provider Active NPI

Jenny Schaeffer, CNP

  • Nurse Practitioner
  • Aberdeen, SD
National Provider Identifier
1457893604
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
CP001162 Issued in SD
Practice address
1206 S Main St
Aberdeen, SD 57401-7071
Phone
(605) 250-1200
NPI assigned
Nov 4, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CP001162 SD Primary

Addresses

Primary practice location

1206 S Main St
Aberdeen, SD 57401-7071

Mailing address

1206 S Main St
Aberdeen, SD 57401-7071
Phone (605) 982-5063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20211001002164 SD Practitioner - Nurse Practitioner 2264830405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dakota Roots Health Care PLLCGroup PAC ID 9739694985, 3 clinicians

Practice addresses (Care Compare)

1206 S Main St
Aberdeen, SD 57401-7071
Phone (605) 982-5063

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CP001162SDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dakota Roots Health Care PLLC CurrentSince May 24, 2025 Accepting new patients
American Advanced Practice Network, P.C. Nurse Practitioner Past Accepting new patients
Fit for Life Chiropractic, LLC PastSince Sep 15, 2018 Accepting new patients

Locations

1206 S Main St
Aberdeen, SD 57401
Phone (605) 622-5800

Organizations & group practices 3

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 1

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": "1478217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1457893604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017071",
            "telephone_number": "605-982-5063",
            "fax_number": "605-982-5072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 S MAIN ST",
            "city": "ABERDEEN",
            "state": "SD",
            "postal_code": "574017071",
            "telephone_number": "605-250-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHAEFFER",
        "first_name": "JENNY",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-04",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SD",
            "license": "CP001162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aberdeen, SD

Sources for this page

Verify at the official NPI Registry.