Individual provider Active NPI

Jason Ray Sheffler, DO

  • Family Medicine Physician
  • Boone, IA
National Provider Identifier
1629239801
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4262 Issued in IA
Practice address
1115 S Marshall St
Boone, IA 50036-5304
Phone
(515) 432-2335
Fax
(515) 432-2357
NPI assigned
Jun 20, 2008
Last updated
Jan 22, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4262 IA Primary

Addresses

Primary practice location

1115 S Marshall St
Boone, IA 50036-5304

Mailing address

1115 S Marshall St
Boone, IA 50036-5304
Phone (515) 432-2335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20120404000999 IA Practitioner - Family Practice 6608059878 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4262IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Comprehensive Specialty Care Family Medicine CurrentSince Jul 6, 2018 Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Jul 1, 2015 Accepting new patients
Boone County Hospital CurrentSince Jul 1, 2015 Accepting new patients

Locations

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

1015 Union St
Ste 119
Boone, IA 50036
Phone (515) 433-8500

1015 Union St
Ste 120
Boone, IA 50036
Phone (512) 432-7766

1115 S Marshall St
Boone, IA 50036
Phone (515) 432-2335

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1213920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1629239801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365304",
            "telephone_number": "515-432-2335",
            "fax_number": "515-432-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 S MARSHALL ST",
            "city": "BOONE",
            "state": "IA",
            "postal_code": "500365304",
            "telephone_number": "515-432-2335",
            "fax_number": "515-432-2357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEFFLER",
        "first_name": "JASON",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-20",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, IA

Sources for this page

Verify at the official NPI Registry.