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

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 27 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 April 11, 2022

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: August 16, 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.

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

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

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