Jacqueline Maria Fennerty, DPM
NPI 1992871495ActiveIndividual· Podiatrist· Springfield, OR
Podiatrist (DPM) in Springfield, Oregon, trained at California School of Podiatric Medicine (class of 1996). Enrolled in Medicare as practitioner - podiatry.
Overview
| NPI | 1992871495 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPM |
| Sole proprietor | Yes |
| NPI issued | Nov 27, 2006 |
| Last updated in NPPES | Jan 14, 2025 |
| Certified by provider | Jan 14, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Podiatrist Primary | 213E00000X | DP00292 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Podiatry (OR) |
|---|
Education and affiliations
| Medical school | California School of Podiatric Medicine |
|---|---|
| Graduation year | 1996 |
| Medicare specialty | Podiatry |
Medical group
- G Street Integrated HealthSpringfield, OR · 22 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records