Individual provider Active NPI

Kirsten Lynn Shipway, PA-C

  • Surgical Physician Assistant
  • Tucson, AZ
National Provider Identifier
1114178837
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
4286 Issued in AZ
Practice address
1871 W Orange Grove Rd Ste 135
Tucson, AZ 85704-1289
Phone
(520) 382-3050
Fax
(520) 382-3055
NPI assigned
Oct 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 4286 AZ Primary

Addresses

Primary practice location

1871 W Orange Grove Rd Ste 135
Tucson, AZ 85704-1289

Mailing address

1871 W Orange Grove Rd Ste 135
Tucson, AZ 85704-1289
Phone (520) 382-3050

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kirsten.shipway.1@1576.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20081117000772 AZ Practitioner - Physician Assistant 1951461201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Allied Physicians LLCGroup PAC ID 7618972514, 120 clinicians

Practice addresses (Care Compare)

1551 E Tangerine Rd
Oro Valley, AZ 85755-6213
Phone (520) 901-3549

1871 W Orange Grove Rd
Tucson, AZ 85704-1289

6200 N la Cholla Blvd
Tucson, AZ 85741-3529
Phone (520) 469-8100

8333 N Silverbell Rd
Suite 161
Tucson, AZ 85743-7371
Phone (520) 202-7770

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.8 of 100Reported as apm
Quality
77.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Allied Physicians LLC CurrentSince Sep 1, 2022 Accepting new patients
Banner-University Medical Group Past Accepting new patients

Locations

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

16260 S Rancho Sahuarita Blvd
Ste 200
Sahuarita, AZ 85629
Phone (520) 352-1072

8333 N Silverbell Rd
Ste 161
Tucson, AZ 85743
Phone (520) 202-7770

1871 W Orange Grove Rd
Ste 135
Tucson, AZ 85704
Phone (520) 229-9600

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

4001 E Sunrise Dr
Ste 161
Tucson, AZ 85718
Phone (520) 232-5280

Interoperability endpoints

  • Direct secure messaging: kirsten.shipway.1@1576.direct.athenahealth.com

Organizations & group practices 2

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1222819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1114178837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-382-3050",
            "fax_number": "520-382-3055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 W ORANGE GROVE RD STE 135",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041289",
            "telephone_number": "520-382-3050",
            "fax_number": "520-382-3055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPWAY",
        "first_name": "KIRSTEN",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-01",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "AZ",
            "license": "4286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kirsten.shipway.1@1576.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1871 W Orange Grove Rd Ste 135",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857041289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.