KENT LYLE SHIPPEN PA
NPI 1942379003
Physician Assistant in Driggs, ID

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
91.03/100
CMS Quality Rating
283 N 1ST E, DRIGGS, ID 83422(208) 354-2302(208) 354-8392 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kent Lyle Shippen Pa NPPES

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

KENT LYLE SHIPPEN PA (NPI 1942379003) is an individual physician assistant in Driggs, Idaho, licensed in Idaho (PA-617) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Johns Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1942379003
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENT LYLE SHIPPENCredential: PA
Location Address283 N 1ST EDriggs, ID 83422-5109
Mailing Address283 N 1st EDriggs, ID 83422-5109 · (208) 354-2302 · Fax (208) 354-8392
Fax(208) 354-8392
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1942379003 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 ID · PA-617
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.
283 N 1ST E, Driggs, ID 83422

Other Identifiers 1

Medicare UPINH63246ID

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

Kent Lyle Shippen Pa 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 ID1557657673
PECOS Enrollment IDI20160915000840
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 11

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
4,068 services543 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.
1,295 services927 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
694 services593 patients
Destruction of precancer skin growth, 15 or more growths 17004
This procedure involves removing 15 or more precancerous skin growths to prevent them from developing into cancer. It's done using various methods like freezing, creams, or minor surgery. The goal is to protect your health by stopping cancer before it starts.
597 services456 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
190 services176 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
130 services130 patients

Hospital Affiliations CMS Care Compare

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

St Johns Medical Center

Acute Care Hospitals · Jackson, WY
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number530015
Location625 East BroadwayJackson, WY 83001 · Teton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83422 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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.

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.

91.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.52
Improvement Activities40
Cost86.73

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.

Clinic/Center (Rural Health)
283 N 1ST E
DRIGGS, ID 83422
Family Medicine
283 N 1ST E
DRIGGS, ID 83422
Family Medicine
283 N 1ST E
DRIGGS, ID 83422

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 Kent Shippen's NPI number?

The NPI number for Kent Shippen is 1942379003. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Kent Shippen located?

Kent Shippen practices at 283 N 1st E, Driggs, ID 83422. The listed phone number is (208) 354-2302.

What is Kent Shippen's specialty?

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

Is Kent Shippen enrolled in Medicare?

Yes. Kent Shippen 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 Kent Shippen accept?

Health plans from Blue Cross Blue Shield of Wyoming and UnitedHealthcare list Kent Shippen 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 Kent Shippen affiliated with any hospitals?

According to CMS data, Kent Shippen is affiliated with St Johns Medical Center.

When was this NPI record last updated?

The NPPES record for Kent Shippen was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.