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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: October 25, 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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Shane Tipton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Texas Southwestern Medical Center At Dallas
0.3 mi
Rehabilitation
6011 HARRY HINES BLVD
Dallas, TX 75235
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1043418205 (214) 645-0624
Texas Health Physicians Group
6.5 mi
Internal Medicine
8440 WALNUT HILL LN STE 800
Dallas, TX 75231
  • Reassigned Medicare billing, Texas enrollment
  • 1,639 clinicians in this Medicare group
NPI 1053767897 (214) 860-6300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Which organizations bill Medicare for Shane Tipton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shane Tipton reassigns Medicare benefits to 2 organizations: University Of Texas Southwestern Medical Center At Dallas (Dallas, TX) and Texas Health Physicians Group (Dallas, TX). Each 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 Shane Tipton'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 Shane Tipton was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.