Individual provider Active NPI

Jenny M Sheffer, DO

  • Emergency Medicine Physician
  • Paducah, KY
National Provider Identifier
1699093096
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03781 Issued in KY
Practice address
1530 Lone Oak Rd
Paducah, KY 42003-7901
Phone
(271) 444-2444
NPI assigned
May 10, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OT013630 PA
Emergency Medicine Physician 207P00000X 03781 KY Primary

Addresses

Primary practice location

1530 Lone Oak Rd
Paducah, KY 42003-7901

Mailing address

201 State Street
Erie, PA 16550
Phone (814) 877-6257

Other practice location 1

201 State St
Erie, PA 16550-0002
Phone (814) 877-6257

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN, AL3 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
I20141007001324 KY Practitioner - Emergency Medicine 0547497489 Reassigns benefits to 7 organizations
I20210106002844 IN Practitioner - Emergency Medicine 0547497489 Reassigns benefits to 1 organization
I20211001000216 AL Practitioner - Emergency Medicine 0547497489 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03781KYMDEmergency Medicine Physician
OT013630PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fep of Kentucky LLC Emergency Medicine CurrentSince Dec 30, 2023 Accepting new patients
Deaconess Hospital Inc CurrentSince Jan 1, 2021 Accepting new patients
Ohio County Hospital Corporation Emergency Medicine CurrentSince Nov 1, 2022 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
App of Alabama Ed PLLC Emergency Medicine CurrentSince Sep 22, 2021 Accepting new patients
Methodist Health, Inc. CurrentSince Oct 1, 2024 Accepting new patients
RH Emergency Medicine of Caldwell Medical, LLC Emergency Medicine CurrentSince Dec 3, 2023 Accepting new patients
Alabama Physicians Group LLC Emergency Medicine CurrentSince Aug 29, 2023 Accepting new patients
Deaconess Hospital, Inc Emergency Medicine CurrentSince Jan 1, 2021 Accepting new patients
Ohio County Hospital Corporation CurrentSince Nov 1, 2022 Accepting new patients
Ohio County Hospital Corporation Current Accepting new patients
Methodist Health, Inc. Emergency Medicine CurrentSince Oct 1, 2024 Accepting new patients
Trigg County Hospital, Inc CurrentSince Sep 9, 2022 Accepting new patients
Green Valley Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Trigg County Hospital, Inc Emergency Medicine CurrentSince Sep 9, 2022 Accepting new patients

Locations

301 E 18th St
Anniston, AL 36207
Phone (256) 235-8900

400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

254 Main St
Cadiz, KY 42211
Phone (270) 522-3215

1211 Old Main St
Hartford, KY 42347
Phone (270) 298-3806

1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

100 Medical Center Dr
Princeton, KY 42445
Phone (270) 365-0300

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1273449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1699093096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 STATE STREET",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "16550",
            "telephone_number": "814-877-6257",
            "fax_number": "814-877-4010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 LONE OAK RD",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420037901",
            "telephone_number": "271-444-2444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165500002",
            "country_code": "US",
            "telephone_number": "814-877-6257",
            "fax_number": "814-877-4010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEFFER",
        "first_name": "JENNY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-10",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OT013630",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "03781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.