JENICA JOY SHIPLEY MCMULLEN MD
NPI 1255838512
Emergency Medicine in Syracuse, NY

Active since April 12, 2018PECOS EnrolledAccepts Medicare Assignment
92.02/100
CMS Quality Rating
750 EAST ADAMS ST, SYRACUSE, NY 13210(315) 464-4363(315) 464-8690 Get Directions Write a Review

NPPES record last updated: August 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2022, Apr 12, 2018 (2 updates tracked since 2018).

About Jenica Joy Shipley Mcmullen Md NPPES

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

JENICA JOY SHIPLEY MCMULLEN MD (NPI 1255838512) is an individual emergency medicine provider in Syracuse, New York, licensed in New York (315163) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with North Shore Medical Center -, and is a graduate of New York University School Of Medicine (2018).

NPPES Registry Identity

NPI1255838512
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameJENICA JOY SHIPLEY MCMULLENCredential: MD
Location Address750 EAST ADAMS STSyracuse, NY 13210-2306
Mailing Address251 Salina Meadows Pkwy, Suite 100Syracuse, NY 13212-4516 · (315) 464-2000 · Fax (315) 464-2010
Fax(315) 464-8690
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 2018
Enumeration DateApril 12, 2018
Last NPPES UpdateAugust 10, 20222 updates tracked since enumeration
NPPES CertifiedAugust 10, 2022
NPI 1255838512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NY · 315163
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
750 EAST ADAMS ST, Syracuse, NY 13210

Other Names 1

Former Name (1)Jenica Joy Shipley

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jenica Joy Shipley Mcmullen Md 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 ID1456684836
PECOS Enrollment IDI20231115002245
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
129 services128 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
22 services21 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Hospital Affiliations CMS Care Compare

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

North Shore Medical Center -

Acute Care Hospitals · Salem, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220035
Location81 Highland AvenueSalem, MA 01970 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13210 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality97.18
Promoting Interoperability100
Improvement Activities40
Cost49.05

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.

Otolaryngology
750 EAST ADAMS ST
SYRACUSE, NY 13210
Nurse Practitioner (Family)
750 EAST ADAMS ST
SYRACUSE, NY 13210
Physician Assistant
750 EAST ADAMS ST
SYRACUSE, NY 13210
Pediatrics (Pediatric Emergency Medicine)
750 EAST ADAMS ST
SYRACUSE, NY 13210
Emergency Medicine
750 EAST ADAMS ST
SYRACUSE, NY 13210
Hospitalist
750 EAST ADAMS ST
SYRACUSE, NY 13210
Hospitalist
750 EAST ADAMS ST
SYRACUSE, NY 13210
Psychologist
750 EAST ADAMS ST
SYRACUSE, NY 13210

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 Jenica Mcmullen's NPI number?

The NPI number for Jenica Mcmullen is 1255838512. It was assigned to this individual provider in the NPPES registry on April 12, 2018. The provider is also known as Jenica Joy Shipley.

Where is Jenica Mcmullen located?

Jenica Mcmullen practices at 750 East Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-4363.

What is Jenica Mcmullen's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Jenica Mcmullen enrolled in Medicare?

Yes. Jenica Mcmullen 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.

Is Jenica Mcmullen affiliated with any hospitals?

According to CMS data, Jenica Mcmullen is affiliated with North Shore Medical Center -.

When was this NPI record last updated?

The NPPES record for Jenica Mcmullen was last updated on August 10, 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.