CODY W SHIPLEY PMHNP-BC
NPI 1962200360
Nurse Practitioner - Psychiatric/Mental Health in Grand Rapids, MI
About Cody W Shipley Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CODY W SHIPLEY PMHNP-BC (NPI 1962200360) is an individual psychiatric/mental health provider in Grand Rapids, Michigan, licensed in Michigan (4704355672) and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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
Cody W Shipley Pmhnp-bc 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 Cody Shipley reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brighton, MI 48114
- Reassigned Medicare billing, Michigan enrollment
- 451 clinicians in this Medicare group
Iron River, MI 49935
- Reassigned Medicare billing, Michigan enrollment
- 34 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Cody Shipley's NPI number?
The NPI number for Cody Shipley is 1962200360. It was assigned to this individual provider in the NPPES registry on March 4, 2025.
Where is Cody Shipley located?
Cody Shipley practices at 818 Paris Ave NE, Grand Rapids, MI 49503. The listed phone number is (214) 728-5982.
What is Cody Shipley's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Cody Shipley enrolled in Medicare?
Yes. Cody 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 Cody Shipley's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cody Shipley reassigns Medicare benefits to 2 organizations: Downriver Mental Health Clinic PC (Brighton, MI) and Supportive Care I Of Michigan PC (Iron River, MI). 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 Cody Shipley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cody Shipley accept?
Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Cody 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 Cody Shipley was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Cody W Shipley, PMHNP-BC · NPI 1962200360
Psychiatric/Mental Health physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since March 4, 2025.
## Identity
- **NPI:** 1962200360 (Entity type: Individual)
- **Enumerated:** March 4, 2025
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4704355672 (Michigan)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 818 PARIS AVE NE, Grand Rapids, MI 49503-1753
- **Phone:** (214) 728-5982
## 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): Downriver Mental Health Clinic PC (NPI 1225165715, Brighton, MI); Supportive Care I Of Michigan PC (NPI 1548995608, Iron River, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** March 4, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962200360) · Data from the CMS NPPES public registry.