GROVER GENE SHIPMAN MD
NPI 1104929017
Emergency Medicine in Mount Shasta, CA

Active since September 06, 2006PECOS Enrolled
914 PINE STREET, MOUNT SHASTA, CA 96067(530) 926-6111 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Grover Gene Shipman Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GROVER GENE SHIPMAN MD (NPI 1104929017) is an individual emergency medicine provider in Mount Shasta, California, licensed in Oregon (MD25595) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104929017
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGROVER GENE SHIPMANCredential: MD
Location Address914 PINE STREETMount Shasta, CA 96067-2143
Mailing AddressP.o. Box 12259Westminster, CA 92685-2259 · (888) 634-8405
Sole ProprietorNo
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJuly 2, 2008
NPI 1104929017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in OR · MD25595
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

914 PINE STREET, Mount Shasta, CA 96067

Other Identifiers 4

Medicaid00A967380CA
Medicare UPINI64168CA
Medicare PIN00A967380CA
Medicare PIN00A967381CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Grover Gene Shipman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96067 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.83 avg. paid by Medicare
Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$84.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Personal Emergency Response Attendant
914 PINE STREET
MOUNT SHASTA, CA 96067
Nurse Anesthetist, Certified Registered
914 PINE STREET
MOUNT SHASTA, CA 96067
Personal Emergency Response Attendant
914 PINE STREET
MOUNT SHASTA, CA 96067
Emergency Medicine
914 PINE STREET
MOUNT SHASTA, CA 96067
Radiology (Diagnostic Radiology)
914 PINE STREET
MOUNT SHASTA, CA 96067
Personal Emergency Response Attendant
914 PINE STREET
MOUNT SHASTA, CA 96067

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 Grover Shipman's NPI number?

The NPI number for Grover Shipman is 1104929017. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Grover Shipman located?

Grover Shipman practices at 914 Pine Street, Mount Shasta, CA 96067. The listed phone number is (530) 926-6111.

What is Grover Shipman's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Grover Shipman enrolled in Medicare?

Yes. Grover Shipman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Grover Shipman was last updated on July 2, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.