BETHANY SHIPLEY M.S., CCC-SLP
NPI 1083162713
Speech-Language Pathologist in Oklahoma City, OK
About Bethany Shipley M.s., Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY SHIPLEY M.S., CCC-SLP (NPI 1083162713) is an individual speech-language pathologist provider in Oklahoma City, Oklahoma, licensed in Oklahoma (4439) and active in the NPI registry since September 2016. She is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bethany Shipley M.s., Ccc-slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Bethany Shipley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lake Charles, LA 70601
- Reassigned Medicare billing, Oklahoma enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
OKLAHOMA CITY, OK 73112
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Bethany Shipley's NPI number?
The NPI number for Bethany Shipley is 1083162713. It was assigned to this individual provider in the NPPES registry on September 11, 2016.
Where is Bethany Shipley located?
Bethany Shipley practices at 3030 NW Expressway Suite 809, Oklahoma City, OK 73112. The listed phone number is (405) 917-7160.
What is Bethany Shipley's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Bethany Shipley enrolled in Medicare?
Yes. Bethany Shipley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Bethany Shipley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Shipley reassigns Medicare benefits to Synergy Care Southeast, LLC (Lake Charles, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bethany Shipley was last updated on September 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Bethany Shipley, M.S., CCC-SLP · NPI 1083162713
Speech-Language Pathologist provider in Oklahoma City, Oklahoma. Individual provider, active in the CMS NPPES registry since September 11, 2016.
## Identity
- **NPI:** 1083162713 (Entity type: Individual)
- **Enumerated:** September 11, 2016
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 4439 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 3030 NW EXPRESSWAY, SUITE 809, Oklahoma City, OK 73112-5474
- **Phone:** (405) 917-7160
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Bills Medicare through:** Synergy Care Southeast, LLC (NPI 1427466614, Lake Charles, LA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** September 11, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1083162713) · Data from the CMS NPPES public registry.