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SHANE TIPTON NP
NPI 1114321775
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Active since October 10, 2014PECOS Enrolled
6363 FOREST PARK ROAD 7TH FLOOR STE 749, DALLAS, TX 75390(214) 645-8500(214) 645-3775 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jul 10, 2017 (2 updates tracked since 2017).

About Shane Tipton Np NPPES

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

SHANE TIPTON NP (NPI 1114321775) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (675434) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114321775
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameSHANE TIPTONCredential: NP
Location Address6363 FOREST PARK ROAD 7TH FLOOR STE 749Dallas, TX 75390-4426
Mailing AddressPo Box 845347Dallas, TX 75284-5347 · (214) 645-0624 · Fax (214) 645-0078
Phone(214) 645-8500
Fax(214) 645-3775
Sole ProprietorNo
Enumeration DateOctober 10, 2014
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114321775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TX · 675434
6363 FOREST PARK ROAD 7TH FLOOR STE 749, Dallas, TX 75390
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shane Tipton Np 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 75390 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Other Providers at the Same Location NPPES

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

SHAE HARP LPC
Counselor (Professional)
6363 FOREST PARK ROAD 7TH FLOOR STE 749
DALLAS, TX 75390
Dallas County (214) 645-8500

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 Shane Tipton's NPI number?

The NPI number for Shane Tipton is 1114321775. It was assigned to this individual provider in the NPPES registry on October 10, 2014.

Where is Shane Tipton located?

Shane Tipton practices at 6363 Forest Park Road 7th Floor Ste 749, Dallas, TX 75390. The listed phone number is (214) 645-8500.

What is Shane Tipton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shane Tipton enrolled in Medicare?

Yes. Shane Tipton is registered in the Medicare PECOS enrollment system.

What insurance does Shane Tipton accept?

Health plans from Providence Health Plan list Shane Tipton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shane Tipton was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.