Individual provider Active NPI

Jeannette Elizabeth Shelton, FNP

  • Family Nurse Practitioner
  • Richmond, VA
National Provider Identifier
1912933185
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024166657 Issued in VA
Practice address
7605 Forest Ave
Pob Suite 303
Richmond, VA 23229-4938
Phone
(804) 289-4941
Fax
(804) 289-4707
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024166657 VA Primary

Addresses

Primary practice location

7605 Forest Ave
Pob Suite 303
Richmond, VA 23229-4938

Mailing address

7605 Forest Ave
Pob Suite 303
Richmond, VA 23229-4938
Phone (804) 289-4941

Other names 1

  • Jeannette Elizabeth Fens Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20080228000058 VA Practitioner - Nurse Practitioner 0446334536 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0024166657VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henrico Surgical Specialists, LLC CurrentSince Jul 24, 2023 Accepting new patients
HCA Health Services of Virginia, Inc. Past Accepting new patients

Locations

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

7605 Forest Ave
Ste 303
Richmond, VA 23229
Phone (804) 288-0061

110 N Robinson St
Ste 303
Richmond, VA 23220
Phone (804) 200-1950

7611 Forest Ave
Ste 206
Richmond, VA 23229
Phone (804) 968-4435

7607 Forest Ave
Ste 220
Richmond, VA 23229
Phone (804) 285-9416

7605 Forest Ave
Richmond, VA 23229
Phone (804) 282-8377

Interoperability endpoints

  • Direct secure messaging: jeannette.shelton@hca6.eclinicaldirectplus.com

Organizations & group practices 2

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1912933185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "POB SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-289-4941",
            "fax_number": "804-289-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE",
            "address_2": "POB SUITE 303",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232294938",
            "telephone_number": "804-289-4941",
            "fax_number": "804-289-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "JEANNETTE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024166657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNETTE",
            "last_name": "FENS",
            "middle_name": "ELIZABETH",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.