Individual provider Active NPI

Deborah Darlene Shipman, APN

  • Adult Health Nurse Practitioner
  • Jonesboro, AR
National Provider Identifier
1093739286
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
ANP1174 Issued in AR
Practice address
201 E Oak
Jonesboro, AR 72401
Phone
(870) 935-6729
Fax
(870) 268-4408
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X RNP609 AR
Adult Health Nurse Practitioner 363LA2200X ANP1174 AR Primary
Medical-Surgical Clinical Nurse Specialist 364SM0705X RNP609 AR

Addresses

Primary practice location

201 E Oak
Jonesboro, AR 72401

Mailing address

201 E Oak
Jonesboro, AR 72401
Phone (870) 935-6729

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110216001158 AR Practitioner - Nurse Practitioner 1658552104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

1005 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 935-1242

1007 E Matthews Ave
Jonesboro, AR 72401-4308
Phone (870) 336-0472

201 E Oak Ave
Jonesboro, AR 72401-4163
Phone (870) 935-6729

2516 Thomasville Rd
Pocahontas, AR 72455-1203
Phone (870) 935-6729

3644 W State Hwy 18
Manila, AR 72442-8049
Phone (870) 935-6729

407 Virginia Dr
Batesville, AR 72501-7329
Phone (870) 793-4200

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020
  • St Bernards Five Rivers Medical Center Hospital, Pocahontas, AR, CCN 040779
  • White River Medical Center Hospital, Batesville, AR, CCN 040119
  • Crossridge Community Hospital Hospital, Wynne, AR, CCN 041307
  • Unity Health - Newport Hospital, Newport, AR, CCN 041332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ANP1174ARMDAdult Health Nurse Practitioner
RNP609ARMDMedical-Surgical Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Physician Clinics Inc Current Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Mar 1, 2024 Accepting new patients
St Bernards Physician Clinics Inc CurrentSince Mar 1, 2024 Accepting new patients
Harris Medical Clinics Inc. Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
St Bernards Hospital Inc. Past Accepting new patients

Locations

407 Virginia Dr
Batesville, AR 72501
Phone (870) 793-4200

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

201 E Oak Ave
Jonesboro, AR 72401

3644 W State Highway 18
Manila, AR 72442
Phone (870) 561-1500

Interoperability endpoints

  • Direct secure messaging: ddshipman@sbpc.medalliesdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1093739286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E OAK",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-6729",
            "fax_number": "870-268-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E OAK",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-935-6729",
            "fax_number": "870-268-4408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "DEBORAH",
        "middle_name": "DARLENE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "RNP609",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AR",
            "license": "ANP1174",
            "primary": true
        },
        {
            "code": "364SM0705X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Medical-Surgical",
            "state": "AR",
            "license": "RNP609",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.