Doctor profile · Federal record
Dr. Jennifer Shade
Primary Care Nurse Practitioner · Kingman, AZ
- NPI 1922645696
- MIPS 83.2 / 100 · 2023
- 7 yrs on file
- Female
- Solo practice
- No sanctions
Practice & contact
- Primary practice
-
1740 E Beverly Ave Ste B
Kingman, AZ 864093564
(928) 263-1335
fax (928) 272-0173
Credentials & registration
- NPI registered
- December 2019 — 7 yrs on file
- Profile last updated
- March 16, 2024
- Specialty taxonomy
- 363LP2300X — NUCC code
- State license (1)
- Arizona #RN164008
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1922645696. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
527
Distinct HCPCS
7
Medicare allowed
$45,081
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 162 | 129 | $47 | |
93970 |
Ultrasound study of arm or leg veins with compression and maneuvers | 146 | 133 | $154 | |
93971 |
Ultrasound study of one arm or leg veins with compression and maneuvers | 98 | 63 | $98 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 56 | 56 | $29 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 35 | 35 | $60 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 17 | 17 | $75 | |
93922 |
Ultrasound study of arm and leg arteries | 13 | 12 | $34 |
In context: peer comparison
Among 2 peers in this city , average services per provider: 84. This provider delivers 6.3× the peer median.Open Payments
Industry payments received
All-time total
$394
Transactions
5
Manufacturers
5
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Galderma Laboratories, L.P. | 1 | $125.00 | |
| Gilead Sciences, Inc. | 1 | $124.35 | |
| UCB, Inc. | 1 | $50.00 | |
| Dexcom, Inc. | 1 | $48.60 | |
| Novartis Pharmaceuticals Corporation | 1 | $45.84 |
By nature of payment
Frequently asked questions
What is Dr. Jennifer Shade's medical specialty?
Dr. Jennifer Shade practices Primary Care Nurse Practitioner in Kingman, AZ.
Where does Dr. Jennifer Shade practice?
Dr. Jennifer Shade practices at 1740 E Beverly Ave Ste B, Kingman, AZ 864093564. Office phone: 9282631335.
What is Dr. Jennifer Shade's NPI?
Dr. Jennifer Shade's National Provider Identifier (NPI) is 1922645696, issued by NPPES.
What procedures does Dr. Jennifer Shade commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99212); Ultrasound study of arm or leg veins with compression and maneuvers (HCPCS 93970); Ultrasound study of one arm or leg veins with compression and maneuvers (HCPCS 93971). Source: CMS Medicare Physician & Other Practitioners file.