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MRS. JACLYN BENTHALL SHIPLEY CRNA
NPI 1114353471
Nurse Anesthetist, Certified Registered in Chapel Hill, NC

Active since September 18, 2013Accepts Medicare Assignment
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010, CHAPEL HILL, NC 27599(919) 966-5136(984) 974-4873 Get Directions Write a Review

NPPES record last updated: October 10, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Jaclyn Benthall Shipley Crna NPPES

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

MRS. JACLYN BENTHALL SHIPLEY CRNA (NPI 1114353471) is an individual nurse anesthetist, certified registered in Chapel Hill, North Carolina, licensed in North Carolina (224595) and active in the NPI registry since September 2013. She is affiliated with Watauga Medical Center and is a graduate of Other (2013).

NPPES Registry Identity

NPI1114353471
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMRS. JACLYN BENTHALL SHIPLEYCredential: CRNA
Location AddressDEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010Chapel Hill, NC 27599-7010
Mailing AddressPo Box 271647, Unc FpSalt Lake City, UT 84127-1647 · (919) 448-8262
Phone(919) 966-5136
Fax(984) 974-4873
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 18, 2013
Last NPPES UpdateOctober 10, 2016
✔ NPI 1114353471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in NC · 224595
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, Chapel Hill, NC 27599
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

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

Mrs. Jaclyn Benthall Shipley Crna 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.

PECOS PAC ID4284861188
PECOS Enrollment IDI20131223000821

Medicare Billing Reassignments

3

Medicare enrollment records show Jaclyn Shipley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chatham Hospital, Inc.
24 mi
Critical Access
475 PROGRESS BLVD
Siler City, NC 27344
  • Reassigned Medicare billing, North Carolina enrollment
  • 234 clinicians in this Medicare group
NPI 1689967457 (919) 799-4000
Watauga Medical Center Inc
147 mi
General Acute Care Hospital
336 DEERFIELD RD
Boone, NC 28607
  • Reassigned Medicare billing, North Carolina enrollment
  • 129 clinicians in this Medicare group
NPI 1205859766 (828) 262-4100
Charles A. Cannon, Jr. Memorial Hospital, Inc
160 mi
Nurse Anesthetist, Certified Registered
434 HOSPITAL DRIVE
Linville, NC 28646
  • Reassigned Medicare billing, North Carolina enrollment
  • 29 clinicians in this Medicare group
NPI 1346302783 (828) 737-7004

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
18 services18 patients
Anesthesia for procedure for total knee joint replacement 01402
Anesthesia for a total knee joint replacement numbs your body to eliminate pain during surgery. This could be general anesthesia where you're unconscious, or regional anesthesia where only the leg is numb. It's administered by a specialist, ensuring safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Watauga Medical Center

Acute Care Hospitals · Boone, NC
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number340051
Location336 Deerfield RoadBoone, NC 28607 · Watauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27599 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
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 11

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

ROBERT ISAAK DO
Anesthesiology
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
DANIEL NOSIKE UZOCHUKWU
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
ZARI O'CONNOR MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
SIMISOLA OREOLUWA GBADEGESIN MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
HAILEY SCHMIDT MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
MS. KRISTIN BROOKS CARVER CRNA, MSN
Nurse Anesthetist, Certified Registered
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
DR. MAYANK KOTADIA MD
Student in an Organized Health Care Education/Training Program
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136
DR. BENJAMIN FRANCIS REDMON M.D.
Anesthesiology
DEPARTMENT OF ANESTHESIOLOGY N2198 UNC, CB# 7010
CHAPEL HILL, NC 27599
Orange County (919) 966-5136

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 Jaclyn Shipley's NPI number?

The NPI number for Jaclyn Shipley is 1114353471. It was assigned to this individual provider in the NPPES registry on September 18, 2013.

Where is Jaclyn Shipley located?

Jaclyn Shipley practices at Department Of Anesthesiology N2198 Unc Cb# 7010, Chapel Hill, NC 27599. The listed phone number is (919) 966-5136.

What is Jaclyn Shipley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Jaclyn Shipley enrolled in Medicare?

Yes. Jaclyn 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 organizations bill Medicare for Jaclyn Shipley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jaclyn Shipley reassigns Medicare benefits to 3 organizations: Chatham Hospital, Inc. (Siler City, NC), Watauga Medical Center Inc (Boone, NC) and Charles A. Cannon, Jr. Memorial Hospital, Inc (Linville, NC). 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 Jaclyn Shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jaclyn Shipley accept?

Health plans from Cigna Healthcare list Jaclyn Shipley 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.

Is Jaclyn Shipley affiliated with any hospitals?

According to CMS data, Jaclyn Shipley is affiliated with Watauga Medical Center.

When was this NPI record last updated?

The NPPES record for Jaclyn Shipley was last updated on October 10, 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.