MISHELL J SHIPMAN
NPI 1497497333
Pediatrics in Moorhead, MN

Q: What is Mishell Shipman's NPI number?

The NPI number for Mishell Shipman is 1497497333. It was assigned to this individual provider in the NPPES registry on April 11, 2022. The provider is also known as Mishell J Quiridumbay Verdugo MD.

Q: What is Mishell Shipman's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Mishell Shipman was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 April 11, 2022PECOS Enrolled

4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3200(701) 324-3239 Get Directions Write a Review

NPPES record last updated: July 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 27, 2026, May 26, 2026, May 4, 2023 and 1 more (4 updates tracked since 2022).

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About Mishell J Shipman NPPES

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

MISHELL J SHIPMAN (NPI 1497497333) is an individual pediatrics provider in Moorhead, Minnesota, licensed in Minnesota (81950) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of University Of North Dakota School Of Medicine (2023).

NPPES Registry Identity

NPI1497497333

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMISHELL J SHIPMAN

Location Address4000 28TH AVE SMoorhead, MN 56560-7926

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (605) 328-6588 · Fax (605) 328-6512

Phone(701) 234-3200

Fax(701) 324-3239

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2023

Enumeration DateApril 11, 2022

Last NPPES UpdateJuly 27, 20264 updates tracked since enumeration

NPPES CertifiedJuly 27, 2026

✔ NPI 1497497333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MN · 81950✔ Licensed in ND · 24124

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4000 28TH AVE S, Moorhead, MN 56560

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Other Names 1

Former Name (1)Mishell J Quiridumbay Verdugo Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mishell J Shipman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072071455

PECOS Enrollment IDI20260817000118

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 Mishell Shipman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sanford Medical Center Fargo

8.9 mi

Family Medicine

1220 SHEYENNE ST
West Fargo, ND 58078

Reassigned Medicare billing, Minnesota enrollment
376 clinicians in this Medicare group

NPI 1184917924 (701) 234-4445

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 56560 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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 20

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

CARLEY MARIE BAYER APRN, CNP

Nurse Practitioner