JENNIFER ARCHEY SHETTERS (APN) – Adult Health Nurse Practitioner, NPI 1194099358

JENNIFER ARCHEY SHETTERS (APN) is a healthcare provider. based in Tullahoma, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APN. They hold a License No. APN0000016420 (TN). The NPI Number for JENNIFER ARCHEY SHETTERS (APN) is 1194099358

Main info

Female
15 Years Of Experience
Name
JENNIFER ARCHEY SHETTERS (APN)
NPI
1194099358
Phone
(931) 455-2045
Address
2106N JACKSON ST
Enumeration Date
5 March 2012
Last Update Date
11 November 2015

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9314552045
Graduation Year
2011 (15 years ago)
PAC ID
3870716350
Group Practice PAC ID
0749182251
Professional Enrollment ID
I20140602001728
Address ID
TN373882208TU2106XSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:14State licenses:1Digital endpointsOther names

10,664 NURSE PRACTITIONER in TN

Provider Addresses for JENNIFER ARCHEY SHETTERS (APN)

  • 2106N JACKSON ST

    TULLAHOMA, TN 373882208

    Phone: (931) 455-2045

    Fax: (931) 455-9960

    Type: Mailing

  • 601 NW ATLANTIC ST

    TULLAHOMA, TN 373883536

    Phone: (931) 393-2245

    Fax: (931) 393-2247

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $415.

Total Amount is formed as General ($415) + Research ($0) + Ownership ($0) = $415.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($126).

Total Amount

$415

General + Research + Ownership

Payments

18

Total payment records

General Amount

$415

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

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: 2014-06-02

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
I20140602001728INurse PractitionerTNTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 37388)

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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: 0749182251View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeTN

Reviews

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Frequently asked questions

How do I look up JENNIFER ARCHEY SHETTERS (APN) by NPI?
Use NPI 1194099358 when you need to reference JENNIFER ARCHEY SHETTERS (APN) in forms, claims, or directories.
Is JENNIFER ARCHEY SHETTERS (APN)'s NPI currently valid?
The extract we use shows JENNIFER ARCHEY SHETTERS (APN) as active.
Does JENNIFER ARCHEY SHETTERS (APN) list a primary specialty?
If you are matching referrals, note Adult Health Nurse Practitioner for JENNIFER ARCHEY SHETTERS (APN). Clinical services aligned with this taxonomy classification.
What location shows for JENNIFER ARCHEY SHETTERS (APN)?
We surface Tullahoma, Tennessee for JENNIFER ARCHEY SHETTERS (APN) based on available NPPES addresses.
How can I contact JENNIFER ARCHEY SHETTERS (APN)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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