DR. JODIE SHIPLEY DNP
NPI 1811603376
Nurse Practitioner - Psychiatric/Mental Health in Maryville, IL
About Dr. Jodie Shipley Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JODIE SHIPLEY DNP (NPI 1811603376) is an individual psychiatric/mental health provider in Maryville, Illinois, licensed in Illinois (209027059) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Jodie Shipley Dnp 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jodie Shipley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maryville, IL 62062
- Reassigned Medicare billing, Illinois enrollment
- 18 clinicians in this Medicare group
Saint Louis, MO 63128
- Reassigned Medicare billing, Missouri enrollment
- 16 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MARYVILLE, IL 62062
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 Jodie Shipley's NPI number?
The NPI number for Jodie Shipley is 1811603376. It was assigned to this individual provider in the NPPES registry on January 27, 2023.
Where is Jodie Shipley located?
Jodie Shipley practices at 6805 Il 162 Suite 201, Maryville, IL 62062. The listed phone number is (618) 288-5019.
What is Jodie Shipley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Jodie Shipley enrolled in Medicare?
Yes. Jodie Shipley 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.
Which organizations bill Medicare for Jodie Shipley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jodie Shipley reassigns Medicare benefits to 2 organizations: Southern Illinois Associates LLC (Maryville, IL) and Community And Long-Term Care Psychiatry LLC (Saint Louis, MO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jodie Shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jodie Shipley accept?
Health plans from Medica and UnitedHealthcare list Jodie Shipley 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.
When was this NPI record last updated?
The NPPES record for Jodie Shipley was last updated on August 13, 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.
# Dr. Jodie Shipley, DNP · NPI 1811603376
Psychiatric/Mental Health physician in Maryville, Illinois. Individual provider, active in the CMS NPPES registry since January 27, 2023.
## Identity
- **NPI:** 1811603376 (Entity type: Individual)
- **Enumerated:** January 27, 2023
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209027059 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 6805 IL 162, SUITE 201, Maryville, IL 62062
- **Phone:** (618) 288-5019
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Southern Illinois Associates LLC (NPI 1962427856, Maryville, IL); Community And Long-Term Care Psychiatry LLC (NPI 1699121475, Saint Louis, MO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1811603376) · Data from the CMS NPPES public registry.