SHANTELL SHIPP FNP-C
NPI 1417490756
Nurse Practitioner - Family in Prescott, AZ

Q: What is Shantell Shipp's NPI number?

The NPI number for Shantell Shipp is 1417490756. It was assigned to this individual provider in the NPPES registry on November 18, 2016.

Q: What is Shantell Shipp's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shantell Shipp was last updated on November 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since November 18, 2016PECOS EnrolledAccepts Medicare Assignment

743 MILLER VALLEY RD, PRESCOTT, AZ 86301(928) 777-9600(855) 449-5560 Get Directions Write a Review

NPPES record last updated: November 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 12, 2025, Jan 6, 2023, Feb 3, 2022 and 2 more (5 updates tracked since 2016).

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About Shantell Shipp Fnp-c NPPES

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

SHANTELL SHIPP FNP-C (NPI 1417490756) is an individual family provider in Prescott, Arizona, licensed in Arizona (AP10327) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1417490756

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSHANTELL SHIPPCredential: FNP-C

Location Address743 MILLER VALLEY RDPrescott, AZ 86301-1813

Mailing Address743 Miller Valley RdPrescott, AZ 86301-1813 · (928) 777-9600 · Fax (855) 449-5560

Phone(928) 777-9600

Fax(855) 449-5560

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateNovember 18, 2016

Last NPPES UpdateNovember 12, 20255 updates tracked since enumeration

NPPES CertifiedNovember 12, 2025

✔ NPI 1417490756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in AZ · AP10327

743 MILLER VALLEY RD, Prescott, AZ 86301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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

Shantell Shipp Fnp-c 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 ID2264715150

PECOS Enrollment IDI20180226002697

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

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.

Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491

Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.

1,224 services1,224 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86301 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

Other Providers at the Same Location NPPES 18

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

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