Individual provider Active NPI

Brittany B. Shipes, APRN

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1194110924
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP127832 Issued in TX
Practice address
6210 S Broadway Ave
Tyler, TX 75703-4413
Phone
(035) 792-7009
Fax
(903) 579-2799
NPI assigned
Mar 30, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 22444 SC
Family Nurse Practitioner 363LF0000X AP127832 TX Primary

Addresses

Primary practice location

6210 S Broadway Ave
Tyler, TX 75703-4413

Mailing address

6210 S Broadway Ave
Tyler, TX 75703-4413
Phone (035) 792-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, SC2 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
I20150430001116 TX Practitioner - Nurse Practitioner 9436478112 Reassigns benefits to 5 organizations
I20190315001710 SC Practitioner - Nurse Practitioner 9436478112 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipa ER Group PLLCGroup PAC ID 9133655616, 27 clinicians

Practice addresses (Care Compare)

1814 Roseland Blvd
Suite 100
Tyler, TX 75701-4262
Phone (214) 696-8033

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
22444SCMDFamily Medicine Physician
AP127832TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hope D Short MD PA CurrentSince Aug 12, 2020 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Feb 11, 2019 Accepting new patients
Mid-County Family Care PLLC Family CurrentSince Sep 1, 2015 Accepting new patients
Wholistic Wound Care & Wellness PLLC Family CurrentSince Jan 1, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC Current Accepting new patients
Wholistic Imaging LLC CurrentSince Oct 21, 2025 Accepting new patients
Inpatient Physician Associates PLLC CurrentSince Jan 1, 2025 Accepting new patients
Palmetto Primary Care Physicians, LLC CurrentSince Feb 11, 2019 Accepting new patients
Etmc Physician Group Inc. CurrentSince May 22, 2023 Accepting new patients
Ipa ER Group PLLC CurrentSince Nov 18, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince May 22, 2023 Accepting new patients
Houston Neurological Institute LLP PastSince Apr 1, 2015 Accepting new patients

Locations

1401 Main St
Bonneau, SC 29431
Phone (843) 825-3404

110 Springhall Dr
Ste A
Goose Creek, SC 29445
Phone (843) 973-8503

119 Springhall Dr
Goose Creek, SC 29445
Phone (843) 266-2520

201 Sigma Dr
Ste 100
Summerville, SC 29486
Phone (843) 820-3397

17101 Dallas Pkwy
Addison, TX 75001
Phone (214) 696-8033

6901 Snider Plz
Ste 130
Dallas, TX 75205
Phone (972) 381-6690

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

882 Sierra Dr
Port Neches, TX 77651
Phone (409) 722-1234

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

24165 Ih 10 W
Ste 217807
San Antonio, TX 78257

2850 E Highway 114
Trophy Club, TX 76262
Phone (817) 837-4600

2756 Elkton Trl
Tyler, TX 75703
Phone (903) 534-0911

1814 Roseland Blvd
Ste 100
Tyler, TX 75701
Phone (214) 696-8033

6210 S Broadway Ave
Tyler, TX 75703
Phone (903) 579-2700

Interoperability endpoints

  • Direct secure messaging: bshipes879370@ahs.direct-ci.com

Organizations & group practices 12

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 1

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": "1427673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1194110924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6210 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034413",
            "telephone_number": "035-792-7009",
            "fax_number": "903-579-2799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6210 S BROADWAY AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757034413",
            "telephone_number": "035-792-7009",
            "fax_number": "903-579-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPES",
        "first_name": "BRITTANY",
        "middle_name": "B.",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-30",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "22444",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.