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JESSALYN SHIPP
NPI 1790648566
Physician Assistant in Bowling Green, MO

Active since December 08, 2025PECOS EnrolledAccepts Medicare Assignment
2106 W MAIN ST, BOWLING GREEN, MO 63334(816) 589-6958 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 2, 2026, Dec 8, 2025 (2 updates tracked since 2025).

About Jessalyn Shipp NPPES

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

JESSALYN SHIPP (NPI 1790648566) is an individual physician assistant in Bowling Green, Missouri, licensed in Missouri (2026005573) and active in the NPI registry since December 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790648566
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJESSALYN SHIPP
Location Address2106 W MAIN STBowling Green, MO 63334-1049
Mailing Address11 Angela DrDamascus, AR 72039-9026
Phone(816) 589-6958
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 8, 2025
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1790648566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in MO · 2026005573
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2106 W MAIN ST, Bowling Green, MO 63334
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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

Jessalyn Shipp 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 ID9133602832
PECOS Enrollment IDI20260311001774
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63334 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$65.71 typical visit price
range $16.30 – $131.05
Typical copayment $16.42 (range $4.07 – $32.76)
Most-billed visit code 99213
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 6

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

BEL OAK OF COUNTRY VIEW LLC
Skilled Nursing Facility
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (636) 394-3000
COUNTRY VIEW NURSING FACILITY, INC.
Skilled Nursing Facility
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (573) 324-2216
SUSAN EILEEN FESSLER APRN, FNP-BC
Nurse Practitioner (Family)
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (573) 324-2216
ABIGAIL WHEELER LPTA
Physical Therapy Assistant
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (573) 324-2216
LACY WELCH COTA
Occupational Therapy Assistant
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (877) 787-3430
CASSANDRA SHIPLEY SLP
Speech-Language Pathologist
2106 W MAIN ST
BOWLING GREEN, MO 63334
Pike County (573) 324-2216

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 Jessalyn Shipp's NPI number?

The NPI number for Jessalyn Shipp is 1790648566. It was assigned to this individual provider in the NPPES registry on December 8, 2025.

Where is Jessalyn Shipp located?

Jessalyn Shipp practices at 2106 W Main St, Bowling Green, MO 63334. The listed phone number is (816) 589-6958.

What is Jessalyn Shipp's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jessalyn Shipp enrolled in Medicare?

Yes. Jessalyn Shipp 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.

When was this NPI record last updated?

The NPPES record for Jessalyn Shipp was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.