MRS. JENNIFER MARIE SHEARS (FNP-C) – Family Nurse Practitioner, NPI 1265944219

MRS. JENNIFER MARIE SHEARS (FNP-C) is a healthcare provider. based in Moraine, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. APRN.CNP.021762 (OH). The NPI Number for MRS. JENNIFER MARIE SHEARS (FNP-C) is 1265944219

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER MARIE SHEARS (FNP-C)
NPI
1265944219
Phone
(937) 991-3186
Address
3170 KETTERING BLVD BLDG B3
Enumeration Date
31 October 2017
Last Update Date
23 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9374900123
Graduation Year
2017 (9 years ago)
PAC ID
2668729179
Group Practice PAC ID
0840104360
Professional Enrollment ID
I20180716000440
Address ID
OH454313821BE2510XBLVD302

Contacts

Secure Messaging
jshears665635@direct.ketteringhealth.org
FHIR Endpoint
https://khnarr.ketthealth.com/FHIR-PROD/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

14,984 NURSE PRACTITIONER in OH

Provider Addresses for MRS. JENNIFER MARIE SHEARS (FNP-C)

  • 3170 KETTERING BLVD BLDG B3

    MORAINE, OH 454391924

    Phone: (937) 991-3186

    Fax: (937) 223-9811

    Type: Mailing

  • 6700 Commerce Center Dr

    Dayton, OH 454142672

    Phone: (937) 208-6875

    Fax: (937) 208-6878

    Type: Location

  • 1130 S Main St

    Englewood, OH 453222819

    Phone: (937) 208-6879

    Fax: (937) 208-6886

    Type: Location

  • 1843 W Main St

    Troy, OH 453732303

    Phone: (937) 208-4120

    Fax: (937) 208-4126

    Type: Location

  • 9158 Milton Carlisle Rd

    New Carlisle, OH 453449214

    Phone: (937) 313-7149

    Type: Location

  • 752 N Main St

    Springboro, OH 450668944

    Phone: (937) 208-6865

    Fax: (937) 208-6868

    Type: Location

  • 8 Prestige Plaza Dr Ste 107

    Miamisburg, OH 453427304

    Phone: (937) 208-6871

    Fax: (937) 208-6874

    Type: Location

  • Old Troy Pike, Huber Heights, Miami County, Ohio, 45424, United States

    HUBER HEIGHTS, OH 45424

    Phone: (937) 208-4100

    Fax: (937) 208-4107

    Type: Location

  • 2510 COMMONS BLVD STE 110

    BEAVERCREEK, OH 454313821

    Phone: (937) 490-0123

    Fax: (937) 306-1536

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $437.

Total Amount is formed as General ($437) + Research ($0) + Ownership ($0) = $437.

Last reported payment date: 2023-08-10 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($147).

Total Amount

$437

General + Research + Ownership

Payments

6

Total payment records

General Amount

$437

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180716000440INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6243$0
99213Established patient office or other outpatient visit, 20-29 minutes1818$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1717$0
View full utilization report →

Insurance plans in this area (ZIP 45439)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0840104360View full group profile

Reviews

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Frequently asked questions

What number should I use to identify MRS. JENNIFER MARIE SHEARS (FNP-C) for billing?
Administrative and clinical systems typically use NPI 1265944219 for MRS. JENNIFER MARIE SHEARS (FNP-C).
Quick check: is MRS. JENNIFER MARIE SHEARS (FNP-C) active?
Public NPPES data shows MRS. JENNIFER MARIE SHEARS (FNP-C) with an active NPI status right now.
Which specialty label fits MRS. JENNIFER MARIE SHEARS (FNP-C)?
NPPES ties MRS. JENNIFER MARIE SHEARS (FNP-C) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to MRS. JENNIFER MARIE SHEARS (FNP-C)?
MRS. JENNIFER MARIE SHEARS (FNP-C) shows a connection to Moraine, Ohio in registry-derived data.
Who maintains MRS. JENNIFER MARIE SHEARS (FNP-C)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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