JENNIFER ANNE SHEALY (NP) – Emergency Medicine Physician, NPI 1285426361
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,379 NURSE PRACTITIONER in OR
Provider Addresses for JENNIFER ANNE SHEALY (NP)
700 Twin Creeks Xing Ste A
Central Point, OR 975028661
Phone: (541) 646-4088
Type: Location
16412 LAKE SHORE DR
WEED, CA 960949482
Phone: (801) 725-5789
Type: Mailing
700 TWIN CREEKS XING STE A
CENTRAL POINT, OR 975028661
Phone: (541) 646-4088
Type: Location
444 Bruce St
Yreka, CA 960973450
Phone: (530) 842-4121
Type: Location
20530 BIG SPRINGS RD STE 3
WEED, CA 960949600
Phone: (541) 646-4088
Fax: (541) 290-1290
Type: Location
2020 Milligan Way
Medford, OR 975045894
Phone: (541) 858-2600
Type: Location
16412 Lake Shore Dr
Weed, CA 960949482
Phone: (801) 725-5789
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2026-03-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250619002201 | I | Nurse Practitioner | CA | TBD |
| I20260303002351 | I | Nurse Practitioner | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97502)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Emergency Medicine | NV | |
| Emergency Medicine | CA | |
| Emergency Medicine | MD | |
| Emergency Medicine | IA | |
| Emergency Medicine | CA | |
| Emergency Medicine | CA | |
| Emergency Medicine | OH | |
| Emergency Medicine | OR | |
| Emergency Medicine | CA |
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