Individual provider Active NPI

Matthew Shipman

  • Family Nurse Practitioner
  • Overland Park, KS
National Provider Identifier
1124878780
Registry record updated Jun 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-83025-091 Issued in KS
Practice address
10550 Quivira Rd Ste 530
Overland Park, KS 66215-2307
Phone
(913) 780-3388
Fax
(913) 439-4836
NPI assigned
Mar 26, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-83025-091 KS Primary

Addresses

Primary practice location

10550 Quivira Rd Ste 530
Overland Park, KS 66215-2307

Mailing address

10550 Quivira Rd Ste 530
Overland Park, KS 66215-2307
Phone (913) 780-3388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 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

Enrollment IDStateProvider typePAC IDDetails
I20240406000154 KS Practitioner - Nurse Practitioner 7810335080 Reassigns benefits to 4 organizations
I20250925001260 MO Practitioner - Nurse Practitioner 7810335080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians
Carbon Health Medical Group of Kansas PAGroup PAC ID 6002218146, 11 clinicians

Practice addresses (Care Compare)

20375 W 151St St
Suite 409
Olathe, KS 66061-7210
Phone (913) 780-3388

4817 W 119TH St
Suite 120
Overland Park, KS 66209-1560
Phone (913) 298-2743

8600 Ward Pkwy
Suite 1018
Kansas City, MO 64114-2616
Phone (816) 281-5397

Hospital & facility affiliations

  • Anderson County Hospital Hospital, Garnett, KS, CCN 171316
  • Overland Park Reg Med Ctr Hospital, Overland Park, KS, CCN 170176

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
53-83025-091KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Lukes Hospital of Garnett Inc CurrentSince Nov 1, 2025 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Dec 1, 2025 Accepting new patients
Saint Lukes Hospital of Garnett Inc CurrentSince Nov 1, 2025 Accepting new patients
Kansas City Urology Care, P.a. CurrentSince Apr 1, 2024 Accepting new patients
Carbon Health Medical Group of Kansas PA CurrentSince Feb 10, 2026 Accepting new patients

Locations

421 S Maple St
Garnett, KS 66032
Phone (785) 204-7105

20375 W 151st St
Ste 409
Olathe, KS 66061
Phone (913) 829-5656

10701 Nall Ave
Ste 100
Overland Park, KS 66211
Phone (913) 338-5585

10550 Quivira Rd
Ste 530
Overland Park, KS 66215
Phone (913) 276-5130

8551 Bluejacket St
Overland Park, KS 66214
Phone (913) 341-7985

7450 W Frontage Rd
Shawnee, KS 66203
Phone (913) 319-7600

4321 Washington St
Ste 5300
Kansas City, MO 64111
Phone (816) 531-1234

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 4

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": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749168000000",
    "number": "1124878780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-780-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 QUIVIRA RD STE 530",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662152307",
            "telephone_number": "913-780-3388",
            "fax_number": "913-439-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-26",
        "last_updated": "2025-06-06",
        "certification_date": "2025-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83025-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

Verify at the official NPI Registry.