SHANNON G SHIPMAN PA-C
NPI 1619788650
Physician Assistant - Surgical in Skokie, IL

Active since January 17, 2025PECOS EnrolledAccepts Medicare Assignment
9669 KENTON AVE STE 206, SKOKIE, IL 60076(847) 504-3300 Get Directions Write a Review

NPPES record last updated: March 26, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shannon G Shipman Pa-c NPPES

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

SHANNON G SHIPMAN PA-C (NPI 1619788650) is an individual surgical provider in Skokie, Illinois, licensed in Illinois (085010820) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Cicero.

NPPES Registry Identity

NPI1619788650
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameSHANNON G SHIPMANCredential: PA-C
Location Address9669 KENTON AVE STE 206Skokie, IL 60076-1226
Mailing Address2650 Ridge Ave Ste 1223Evanston, IL 60201-1700
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJanuary 17, 2025
Last NPPES UpdateMarch 26, 2026
NPPES CertifiedMarch 26, 2026
NPI 1619788650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in IL · 085010820
Also ListedPhysician AssistantTaxonomy 363A00000X · License 085010820 (IL)
9669 KENTON AVE STE 206, Skokie, IL 60076

Secondary Practice Location 1

Location 15741 W Cermak RdCicero, IL 60804-2129 · Phone (708) 222-0100

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

Shannon G Shipman Pa-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 ID9032630017
PECOS Enrollment IDI20250306001532
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.

Hospital Affiliations CMS Care Compare

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

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.

Audiologist
9669 KENTON AVE STE 206
SKOKIE, IL 60076
Otolaryngology
9669 KENTON AVE STE 206
SKOKIE, IL 60076
Audiologist
9669 KENTON AVE STE 206
SKOKIE, IL 60076

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 Shannon Shipman's NPI number?

The NPI number for Shannon Shipman is 1619788650. It was assigned to this individual provider in the NPPES registry on January 17, 2025.

Where is Shannon Shipman located?

Shannon Shipman practices at 9669 Kenton Ave Ste 206, Skokie, IL 60076. The listed phone number is (847) 504-3300.

What is Shannon Shipman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Shannon Shipman enrolled in Medicare?

Yes. Shannon Shipman 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 Shannon Shipman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Shannon Shipman 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 Shannon Shipman affiliated with any hospitals?

According to CMS data, Shannon Shipman is affiliated with Northshore University Healthsystem - Evanston Hospital.

When was this NPI record last updated?

The NPPES record for Shannon Shipman was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.