SHANE TRIPP MD
NPI 1366238818
Student in an Organized Health Care Education/Training Program in Howell, MI
About Shane Tripp Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHANE TRIPP MD (NPI 1366238818) is an individual student in an organized health care education/training program in Howell, Michigan, licensed in Michigan (4351053872) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shane Tripp Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HOWELL, MI 48843
HOWELL, MI 48843
HOWELL, MI 48843
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 Tripp's NPI number?
The NPI number for Shane Tripp is 1366238818. It was assigned to this individual provider in the NPPES registry on April 18, 2025.
Where is Shane Tripp located?
Shane Tripp practices at 3399 E Grand River Ave Ste 202, Howell, MI 48843. The listed phone number is (734) 539-5080.
What is Shane Tripp's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Shane Tripp enrolled in Medicare?
Yes. Shane Tripp is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Shane Tripp was last updated on April 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.
# Shane Tripp, MD · NPI 1366238818
Student in an Organized Health Care Education/Training Program provider in Howell, Michigan. Individual provider, active in the CMS NPPES registry since April 18, 2025.
## Identity
- **NPI:** 1366238818 (Entity type: Individual)
- **Enumerated:** April 18, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **State license:** 4351053872 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3399 E GRAND RIVER AVE STE 202, Howell, MI 48843-7555
- **Phone:** (734) 539-5080
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1366238818) · Data from the CMS NPPES public registry.