SHAWNA HIPP
NPI 1528505336
Nurse Practitioner - Family in Columbus, OH

Active since January 31, 2017PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
285 E STATE ST STE 430, COLUMBUS, OH 43215(614) 566-9777 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Jan 31, 2017 (2 updates tracked since 2017).

About Shawna Hipp NPPES

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

SHAWNA HIPP (NPI 1528505336) is an individual family provider in Columbus, Ohio, licensed in Ohio (APRN.CNP.020321) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1528505336
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAWNA HIPP
Location Address285 E STATE ST STE 430Columbus, OH 43215-4358
Mailing Address11634 Matville RdOrient, OH 43146-9773 · (614) 554-0871
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJanuary 31, 2017
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPI 1528505336 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 OH · APRN.CNP.020321
285 E STATE ST STE 430, Columbus, OH 43215

Accepted 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

Shawna Hipp 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 ID244517241
PECOS Enrollment IDI20170428001968
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 3

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
77 services62 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
22 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Grant Medical Center

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360017
Location111 South Grant AvenueColumbus, OH 43215 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43215 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

Neurological Surgery
285 E STATE ST STE 430
COLUMBUS, OH 43215
Neurological Surgery
285 E STATE ST STE 430
COLUMBUS, OH 43215
Nurse Practitioner (Family)
285 E STATE ST STE 430
COLUMBUS, OH 43215
Physical Medicine & Rehabilitation
285 E STATE ST STE 430
COLUMBUS, OH 43215
Psychiatry & Neurology (Neurology)
285 E STATE ST STE 430
COLUMBUS, OH 43215
Psychiatry & Neurology (Neurology)
285 E STATE ST STE 430
COLUMBUS, OH 43215

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 Shawna Hipp's NPI number?

The NPI number for Shawna Hipp is 1528505336. It was assigned to this individual provider in the NPPES registry on January 31, 2017.

Where is Shawna Hipp located?

Shawna Hipp practices at 285 E State St Ste 430, Columbus, OH 43215. The listed phone number is (614) 566-9777.

What is Shawna Hipp's specialty?

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

Is Shawna Hipp enrolled in Medicare?

Yes. Shawna Hipp is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawna Hipp accept?

Health plans from CareSource and MedMutual list Shawna Hipp as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shawna Hipp affiliated with any hospitals?

According to CMS data, Shawna Hipp is affiliated with Riverside Methodist Hospital and Grant Medical Center.

When was this NPI record last updated?

The NPPES record for Shawna Hipp was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.