Ann Shipley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11193762-4405 Issued in UT

Practice address

144 S Main St
Alpine, UT 84004-1666

Phone

(801) 763-7107

NPI assigned

Nov 21, 2014

Last updated

Oct 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA, UT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Alpine Dermatology PCGroup PAC ID 1759483910, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ann.shipley@376.securemail.prognocis.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Alpine Dermatology PC

  • Dermatology Physician
  • Alpine, UT
  • NPI 1922142546
  Medicare reassignment Care Compare group NPD
• Highlands Hospital and Health Center

  dba Highlands Hospital Physicians

  • Family Medicine Physician
  • Connellsville, PA
  • NPI 1447443957
  Medicare reassignment NPD
• Highlands Hospital and Health Center

  dba Penn Highlands Connellsville

  • Internal Medicine Physician
  • Connellsville, PA
  • NPI 1518680164
  NPD
• Aspen Consolidated Health LLC

  dba Prime Meridian Health Clinics, LLC

  • Family Medicine Physician
  • Pleasant Grove, UT
  • NPI 1851921993
  NPD (past)
• Azova Care Group (FL), PLLC

  • Family Medicine Physician
  • Alpine, UT
  • NPI 1285357921
  NPD (past)
• Prime Meridian Health Clinics

  • General Practice Physician
  • Pleasant Grove, UT
  • NPI 1255251039
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1003213901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 S MAIN ST",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041666",
            "telephone_number": "801-763-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 S MAIN ST",
            "city": "ALPINE",
            "state": "UT",
            "postal_code": "840041666",
            "telephone_number": "801-763-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "ANN",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-21",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP013990",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "11193762-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRNP FAMILY HEALTH",
            "identifier": "SP013990",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael D Rosvall, DDS, MS
• Angela Salveson, PA-C
• David Lawrence Scott, M.D.
• Scriptedwell LLC
• Songhee Seo
• Grant (Bill) Cannon Snarr, PT
• Jennifer Ashley Sorensen, LCMHC
• Emma Gwen Sperle, MSN, APRN, FNP-C
• Steady Love Co
• Jay Lynn Steineckert, LCSW

• Nurse Practitioner in Alpine, UT
• Providers in Alpine, UT by specialty
• Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.