Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKIE L SHIPMAN MD
NPI 1487399663
Family Medicine in Altus, OK

Q: What is Jackie Shipman's NPI number?

The NPI number for Jackie Shipman is 1487399663. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Q: What is Jackie Shipman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jackie Shipman was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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 May 02, 2022PECOS Enrolled

101 S PARK LN STE 200, ALTUS, OK 73521(580) 379-6140(580) 379-6149 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 22, 2026, Jan 2, 2026, May 2, 2022 (3 updates tracked since 2022).

On this page

About Jackie L Shipman Md NPPES

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

JACKIE L SHIPMAN MD (NPI 1487399663) is an individual family medicine provider in Altus, Oklahoma, licensed in Oklahoma (39741) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1487399663

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameJACKIE L SHIPMANCredential: MD

Location Address101 S PARK LN STE 200Altus, OK 73521-5731

Mailing Address1200 E Pecan StAltus, OK 73521-6141 · (580) 379-5000 · Fax (580) 379-5509

Phone(580) 379-6140

Fax(580) 379-6149

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateMay 2, 2022

Last NPPES UpdateSeptember 22, 20263 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1487399663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in OK · 39741✔ Licensed in VA · 0101286384

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 39741 (OK)

101 S PARK LN STE 200, Altus, OK 73521

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jackie L Shipman Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315440807

PECOS Enrollment IDI20260125000107

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 Reassignment

Medicare enrollment records show Jackie Shipman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mary Washington Hospital, Inc.

1,239 mi

Cardiovascular Disease

1001 SAM PERRY BLVD
Fredericksburg, VA 22401

Reassigned Medicare billing, Virginia enrollment
133 clinicians in this Medicare group

NPI 1013089879 (540) 741-1041

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73521 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

$82.46 typical visit price

range $53.00 – $162.61

Typical copayment $20.61 (range $13.25 – $40.65)

Most-billed visit code 99203

Established Patient

$94.27 typical visit price

range $16.68 – $132.40

Typical copayment $23.56 (range $4.17 – $33.10)

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 3

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

CHANTEL LAVAWNAW HAYNES CNM

Advanced Practice Midwife

101 S PARK LN STE 200
ALTUS, OK 73521

Jackson County (580) 379-6140

LISA ELAINE STOUT APRN-CNM

Advanced Practice Midwife

101 S PARK LN STE 200
ALTUS, OK 73521

Jackson County (580) 379-6140

JACKSON COUNTY MEMORIAL HOSPITAL AUTHORITY

Clinic/Center (Rural Health)

101 S PARK LN STE 200
ALTUS, OK 73521

Jackson County (580) 379-6140

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 Jackie Shipman's NPI number?

The NPI number for Jackie Shipman is 1487399663. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Jackie Shipman located?

Jackie Shipman practices at 101 S Park Ln Ste 200, Altus, OK 73521. The listed phone number is (580) 379-6140.

What is Jackie Shipman's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackie Shipman enrolled in Medicare?

Yes. Jackie Shipman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jackie Shipman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jackie Shipman reassigns Medicare benefits to Mary Washington Hospital, Inc. (Fredericksburg, VA). 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 Jackie Shipman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jackie Shipman was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.