SAMANTHA SHIPP
NPI 1104531805
Nurse Practitioner - Family in Campbellsville, KY

NPI Status: Active since January 17, 2023

Contact Information

1700 OLD LEBANON RD
CAMPBELLSVILLE, KY
ZIP 42718
Phone: (270) 789-5794

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About SAMANTHA SHIPP

This page provides the complete NPI Profile along with additional information for Samantha Shipp, a provider established in Campbellsville, Kentucky with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1104531805 assigned on January 2023. The practitioner's primary taxonomy code is 363LF0000X with license number 3018628 (KY). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1104531805
Provider Name
SAMANTHA SHIPP
Gender
Female
Entity Type
Individual
Location Address
1700 OLD LEBANON RD CAMPBELLSVILLE, KY 42718
Location Phone
(270) 789-5794
Mailing Address
507 FERN DR CAMPBELLSVILLE, KY 42718
Is Sole Proprietor?
Yes
Enumeration Date
01-17-2023
Last Update Date
01-17-2023
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A nurse practitioner (NP) like Samantha Shipp is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
3018628
License State
KY

Medicare Participation & PECOS Enrollment Status

Samantha Shipp is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 42718 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $82.24
  • Minimum New Patient Price $52.76
  • Maximum New Patient Price $162.27
  • Average New Patient Copayment $20.56
  • Minimum New Patient Copayment $13.19
  • Maximum New Patient Copayment $40.56

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $93.94
  • Minimum Established Patient Price $16.53
  • Maximum Established Patient Price $131.99
  • Average Established Patient Copayment $23.48
  • Minimum Established Patient Copayment $4.13
  • Maximum Established Patient Copayment $32.99

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1104531805, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
0
Doubled → 0
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
3
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
0
Doubled → 0
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 5 → 10 → 1 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 0 + 4 + 1 + 0 + 3 + 2 + 8 + 0 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1104531805.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Anesthesiology
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Emergency Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Anesthesiology
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Psychiatry & Neurology (Psychiatry)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Home Health
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Emergency Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Specialist
1700 OLD LEBANON RD, TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
Specialist
1700 OLD LEBANON RD, TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
Emergency Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
General Acute Care Hospital
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Nurse Practitioner
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
General Acute Care Hospital
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Internal Medicine
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Nurse Anesthetist, Certified Registered
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Massage Therapist
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Nurse Anesthetist, Certified Registered
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Pharmacy (Community/Retail Pharmacy)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Nurse Anesthetist, Certified Registered
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718
Specialist
1700 OLD LEBANON RD, TAYLOR COUNTY HOSPITAL
CAMPBELLSVILLE, KY 42718
Radiology (Diagnostic Radiology)
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1104531805, enumerated as an "individual" on January 17, 2023.

The provider is located at 1700 OLD LEBANON RD CAMPBELLSVILLE, KY 42718 and the phone number is (270) 789-5794.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.