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

Shannon Jenkins, DO

Individual provider Neonatal-Perinatal Medicine Physician · NPI 1023083680

Shannon Jenkins, DO is a Pediatric Medicine in Idaho Falls, Idaho. Graduated from Kansas City University of Med & Biosciences, College of Osteo Med in 1997, 29 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Arizona, Idaho and Kentucky.

Years since qualifying
29
Trained at
Kansas City University of Med & Biosciences, College of Osteo Med
Licensed in
AZ, ID, KY
In the registry since
2006
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

2860 Channing Way Ste 100
Idaho Falls, ID 83404-7531
Phone: (208) 535-4575
Fax: (208) 535-4569
Show map & directions

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

Additional practice locations (1)

  • 411 E Chestnut St, Louisville, KY 40202-1713 — (502) 588-0982

Specialties & licences

Neonatal-Perinatal Medicine Physician (primary) Taxonomy 2080N0001X · Licence O0424 (ID)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence 3863 (AZ)
Neonatal-Perinatal Medicine Physician Taxonomy 2080N0001X · Licence C4692 (KY)

Record details

NPI number1023083680
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESDecember 30, 2025
Certification dateDecember 30, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolKANSAS CITY UNIVERSITY OF MED & BIOSCIENCES, COLLEGE OF OSTEO MED
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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