Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jacqueline Maria Fennerty, DPM

Individual provider Podiatrist · NPI 1992871495

Dr. Jacqueline Maria Fennerty, DPM is a Podiatry in Springfield, Oregon. Graduated from California School of Podiatric Medicine in 1996, 30 years ago. Practices with G Street Integrated Health, a 22-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
30
Trained at
California School of Podiatric Medicine
Licensed in
OR
In the registry since
2006
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

1435 G St
Springfield, OR 97477-4113
Phone: (541) 735-9420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25121 Tripp Rd, Elmira, OR 97437-9612 — (541) 521-9387

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence DP00292 (OR)

Record details

NPI number1992871495
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorYes
NPI enumeratedNovember 27, 2006
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1996 (30 years in practice)
Group practice G Street Integrated Health — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount