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JESSICA MARIE SHIPMAN LPC
NPI 1215308150
Counselor in Elkhorn, WI

Active since October 19, 2015PECOS EnrolledAccepts Medicare Assignment
1910 COUNTY ROAD NN, ELKHORN, WI 53121(262) 741-3200(262) 741-3217 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2024, Aug 22, 2024, Mar 13, 2023 and 1 more (4 updates tracked since 2023).

About Jessica Marie Shipman Lpc NPPES

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

JESSICA MARIE SHIPMAN LPC (NPI 1215308150) is an individual counselor in Elkhorn, Wisconsin, licensed in Wisconsin (4962-125) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1215308150
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameJESSICA MARIE SHIPMANCredential: LPC
Location Address1910 COUNTY ROAD NNElkhorn, WI 53121-4454
Mailing AddressPo Box 1005Elkhorn, WI 53121-1005 · (262) 741-3200 · Fax (262) 741-3217
Phone(262) 741-3200
Fax(262) 741-3217
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 19, 2015
Last NPPES UpdateSeptember 10, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1215308150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WI · 4962-125
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 4962-125 (WI)
1910 COUNTY ROAD NN, Elkhorn, WI 53121
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan and more.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

Jessica Marie Shipman Lpc 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 ID6901254754
PECOS Enrollment IDI20240311003607
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 Jessica Shipman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Walworth
Same address
Primary Care
1910 COUNTY ROAD NN
Elkhorn, WI 53121
  • Reassigned Medicare billing, Wisconsin enrollment
  • 15 clinicians in this Medicare group
NPI 1548348311 (262) 741-3200
Abg Wellness Group Inc
40 mi
Community/Behavioral Health
11414 W PARK PL STE 202
Milwaukee, WI 53224
  • Reassigned Medicare billing, Wisconsin enrollment
  • 39 clinicians in this Medicare group
NPI 1184087389 (414) 292-7060

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

Other Providers at the Same Location NPPES 20

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

CATHERINE L GRIFFITH SAC
Counselor (Addiction (Substance Use Disorder))
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
COUNTY OF WALWORTH
Community/Behavioral Health
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
KRISTI L REYNOLDS
Social Worker (Clinical)
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
RACHEL LEIGH GARDETTO PMHNP-DNP
Nurse Practitioner
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
COUNTY OF WALWORTH
Public Health or Welfare
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
COUNTY OF WALWORTH
Case Management
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
EMILY ROSE VIERLING LCSW
Social Worker (Clinical)
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200
COUNTY OF WALWORTH
Clinic/Center (Public Health, State or Local)
1910 COUNTY ROAD NN
ELKHORN, WI 53121
Walworth County (262) 741-3200

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 Jessica Shipman's NPI number?

The NPI number for Jessica Shipman is 1215308150. It was assigned to this individual provider in the NPPES registry on October 19, 2015.

Where is Jessica Shipman located?

Jessica Shipman practices at 1910 County Road Nn, Elkhorn, WI 53121. The listed phone number is (262) 741-3200.

What is Jessica Shipman's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Is Jessica Shipman enrolled in Medicare?

Yes. Jessica Shipman 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 Jessica Shipman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Shipman reassigns Medicare benefits to 2 organizations: County Of Walworth (Elkhorn, WI) and Abg Wellness Group Inc (Milwaukee, WI). 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 Jessica Shipman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Shipman accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Quartz and UnitedHealthcare list Jessica Shipman 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 Jessica Shipman was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.