ETHAN B SHIPP
NPI 1114403698
Nurse Practitioner - Psychiatric/Mental Health in Murray, UT
About Ethan B Shipp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN B SHIPP (NPI 1114403698) is an individual psychiatric/mental health provider in Murray, Utah, licensed in Utah (5560934-4405) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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
Ethan B Shipp 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Shipp reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Murray, UT 84107
- Reassigned Medicare billing, Utah enrollment
- 3,691 clinicians in this Medicare group
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
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 84107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MURRAY, UT 84107
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 Ethan Shipp's NPI number?
The NPI number for Ethan Shipp is 1114403698. It was assigned to this individual provider in the NPPES registry on July 17, 2018.
Where is Ethan Shipp located?
Ethan Shipp practices at 650 E 4500 S Ste 300, Murray, UT 84107. The listed phone number is (801) 261-3500.
What is Ethan Shipp's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Ethan Shipp enrolled in Medicare?
Yes. Ethan Shipp 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 organization bills Medicare for Ethan Shipp's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Shipp reassigns Medicare benefits to Ihc Health Services Inc (Murray, UT). The 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 Ethan Shipp's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Shipp accept?
Health plans from Select Health list Ethan Shipp 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 Ethan Shipp was last updated on April 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Ethan B Shipp · NPI 1114403698
Psychiatric/Mental Health physician in Murray, Utah. Individual provider, active in the CMS NPPES registry since July 17, 2018.
## Identity
- **NPI:** 1114403698 (Entity type: Individual)
- **Enumerated:** July 17, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 5560934-4405 (Utah)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 650 E 4500 S STE 300, Murray, UT 84107-4502
- **Phone:** (801) 261-3500
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ihc Health Services Inc (NPI 1831387539, Murray, UT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** April 27, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1114403698) · Data from the CMS NPPES public registry.