MICHAEL SHIPPOLE
NPI 1952997744
Counselor - Mental Health in Daytona Beach, FL

Active since December 15, 2020PECOS EnrolledAccepts Medicare Assignment
PO BOX 414, DAYTONA BEACH, FL 32115(321) 578-9263 Get Directions Write a Review

NPPES record last updated: January 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2024, Dec 15, 2020 (2 updates tracked since 2020).

About Michael Shippole NPPES

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

MICHAEL SHIPPOLE (NPI 1952997744) is an individual mental health provider in Daytona Beach, Florida and active in the NPI registry since December 2020. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1952997744
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMICHAEL SHIPPOLE
Location AddressPO BOX 414Daytona Beach, FL 32115-0414
Mailing AddressPo Box 414Daytona Beach, FL 32115-0414
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateDecember 15, 2020
Last NPPES UpdateJanuary 16, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2025
✔ NPI 1952997744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
PO BOX 414, Daytona Beach, FL 32115

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

Michael Shippole 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 ID8224551239
PECOS Enrollment IDI20250401000046
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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Shippole reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 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.

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 Michael Shippole's NPI number?

The NPI number for Michael Shippole is 1952997744. It was assigned to this individual provider in the NPPES registry on December 15, 2020.

Where is Michael Shippole located?

Michael Shippole practices at PO Box 414, Daytona Beach, FL 32115. The listed phone number is (321) 578-9263.

What is Michael Shippole's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Michael Shippole enrolled in Medicare?

Yes. Michael Shippole 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 organization bills Medicare for Michael Shippole's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Shippole reassigns Medicare benefits to Grow Healthcare Group PA (Miami, FL). The 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 Michael Shippole's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Shippole accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Michael Shippole 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 Michael Shippole was last updated on January 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.