Individual provider Active NPI

Lori Ann Shipsky, M.D.

  • Pediatrics Physician
  • Chinchilla, PA
National Provider Identifier
1093953580
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA08403100 Issued in NJ
Practice address
110 Layton Road
Chinchilla, PA 18410-0399
Phone
(570) 586-8879
Fax
(570) 586-3953
NPI assigned
Jan 22, 2009
Last updated
Apr 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA08403100 NJ Primary
Pediatrics Physician 208000000X MD433157 PA

Addresses

Primary practice location

110 Layton Road
Chinchilla, PA 18410-0399

Mailing address

PO Box 399
Chinchilla, PA 18410-0399
Phone (570) 586-8879

Other practice location 1

1000 E Mountain Blvd
Wilkes Barre, PA 18711-0027
Phone (570) 808-7333

Other practice location 2

920 Viewmont Dr
Dickson City, PA 18519-1664
Phone (570) 346-1464

Other identifiers 1

IdentifierTypeStateIssuer
1026623490001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100125000114 NJ Practitioner - Pediatric Medicine 1254473580 Reassigns benefits to 1 organization
I20120307000729 PA Practitioner - Pediatric Medicine 1254473580 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD433157PAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Pediatrics CurrentSince Jul 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 2, 2025 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jul 1, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 11, 2025 Accepting new patients
Geisinger Clinic Current Accepting new patients
Guthrie Medical Group, P.C. CurrentSince May 2, 2025 Accepting new patients
Geisinger Clinic CurrentSince Feb 17, 2025 Accepting new patients
Geisinger Clinic CurrentSince Feb 17, 2025 Accepting new patients
Barnabas Health Medical Group PC CurrentSince Oct 11, 2025 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Guthrie Medical Group, P.C. Current Accepting new patients
Wayne Memorial Hospital Past Accepting new patients
Upmc Pinnacle Hospitals Past Accepting new patients
Anders P. Nelson, MD, PC Pediatrics Past Accepting new patients

Locations

1 Clara Maass Dr
Belleville, NJ 07109
Phone (973) 450-2008

475 Route 70
Ste 101
Lakewood, NJ 08701
Phone (732) 364-8000

94 Old Short Hills Rd
Livingston, NJ 07039
Phone (973) 322-5400

100 N Academy Ave
Danville, PA 17822

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

1000 E Mountain Dr
Wilkes Barre, PA 18711
Phone (570) 826-7300

Interoperability endpoints

  • Direct secure messaging: lshipskytruax15279@direct-guthrie.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1093953580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "CHINCHILLA",
            "state": "PA",
            "postal_code": "184100399",
            "telephone_number": "570-586-8879",
            "fax_number": "570-586-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 LAYTON ROAD",
            "city": "CHINCHILLA",
            "state": "PA",
            "postal_code": "184100399",
            "telephone_number": "570-586-8879",
            "fax_number": "570-586-3953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Mountain Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilkes Barre",
            "state": "PA",
            "postal_code": "187110027",
            "country_code": "US",
            "telephone_number": "570-808-7333",
            "fax_number": "570-808-7325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "920 Viewmont Dr",
            "address_purpose": "LOCATION",
            "city": "Dickson City",
            "state": "PA",
            "postal_code": "185191664",
            "country_code": "US",
            "telephone_number": "570-346-1464",
            "fax_number": "570-346-7450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPSKY",
        "first_name": "LORI",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-22",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA08403100",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD433157",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1026623490001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chinchilla, PA

Sources for this page

Verify at the official NPI Registry.