NPIMap

Individual provider Active NPI

Cynthia Fernandez Shaffer, NP-C

  • Adult Medicine Physician
  • Ooltewah, TN
National Provider Identifier
1891798047
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
APN5567 Issued in TN
Practice address
6401 Mountain View Rd Ste 109
Ooltewah, TN 37363-6685
Phone
(423) 495-5951
Fax
(423) 495-5999
NPI assigned
May 23, 2005
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X APN5567 TN Primary

Addresses

Primary practice location

6401 Mountain View Rd Ste 109
Ooltewah, TN 37363-6685

Mailing address

PO Box 891
Collegedale, TN 37315-0891
Phone (423) 778-9701

Other identifiers 1

IdentifierTypeStateIssuer
5567OtherTNAPN LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071201000134 TN Practitioner - Nurse Practitioner 9830288646 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1998
Medicare assignment
May accept Medicare assignment
Group practices
Brainerd Medical Associates PCGroup PAC ID 9335221902, 3 clinicians

Practice addresses (Care Compare)

1300 Cleveland Ave
Chattanooga, TN 37404-2005
Phone (423) 756-7860

4929 Brainerd Rd
Chattanooga, TN 37411-3902
Phone (423) 894-5005

5600 Brainerd Rd
Suite 500
Chattanooga, TN 37411-5371
Phone (423) 414-3586

6401 Mountain View Rd
Suite 109
Ooltewah, TN 37363-6685
Phone (423) 495-5951

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
92.6
Promoting interoperability
93.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5567TNMDClinical Social Worker
APN5567TNMDAdult Medicine Physician
51334TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Health Partners Foundation Inc Current Accepting new patients
Memorial Health Partners Foundation Inc CurrentSince Aug 1, 2016 Accepting new patients
Brainerd Medical Associates PC CurrentSince Apr 20, 2016 Accepting new patients
Memorial Health Partners Foundation, Inc CurrentSince Aug 1, 2016 Accepting new patients
North Georgia Chiropractic Past Accepting new patients
Kerry D. Friesen, M.D. PC Past Accepting new patients

Locations

4929 Brainerd Rd
Chattanooga, TN 37411
Phone (423) 894-5003

5600 Brainerd Rd
Ste 500
Chattanooga, TN 37411
Phone (423) 414-3586

Interoperability endpoints

  • Direct secure messaging: cynthiashaffer@tnmhpf.allscriptsdirect.net

Organizations & group practices 6

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 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1891798047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 891",
            "city": "COLLEGEDALE",
            "state": "TN",
            "postal_code": "373150891",
            "telephone_number": "423-778-9701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 MOUNTAIN VIEW RD STE 109",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373636685",
            "telephone_number": "423-495-5951",
            "fax_number": "423-495-5999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CYNTHIA",
        "middle_name": "FERNANDEZ",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-23",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "TN",
            "license": "APN5567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "5567",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ooltewah, TN

Sources for this page

Verify at the official NPI Registry.