Individual provider Active NPI

Magan L Shipp, C.N.P.

  • Nurse Practitioner
  • Batesville, MS
National Provider Identifier
1285016279
Registry record updated Sep 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
R883141 Issued in MS
Practice address
107 Eureka St
Batesville, MS 38606-2533
Phone
(662) 563-7681
Fax
(662) 563-2611
NPI assigned
Jun 25, 2015
Last updated
Sep 14, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X R883141 MS Primary

Addresses

Primary practice location

107 Eureka St
Batesville, MS 38606-2533

Mailing address

107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-7681

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170220000744 MS Practitioner - Nurse Practitioner 7517245913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Batesville Clinic, P.a.Group PAC ID 0840265690, 5 clinicians

Practice addresses (Care Compare)

107 Eureka St
Batesville, MS 38606-2533
Phone (662) 563-7681

107 Eureka St B
Ummc Medical Clinic Batesville
Batesville, MS 38606-2533
Phone (601) 815-2005

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
19.67 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
65.57

Merit-based Incentive Payment System (MIPS)

Final score
18.59 of 100Reported as group
Quality
0
Improvement activities
0
Cost
35.41

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R883141MSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Batesville Clinic, P.a. CurrentSince Dec 13, 2016 Accepting new patients
University Physicians, PLLC Past Accepting new patients

Locations

107 Eureka St
Batesville, MS 38606
Phone (662) 563-6000

107 Eureka St
#B
Batesville, MS 38606

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1435190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1285016279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-7681",
            "fax_number": "662-563-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 EUREKA ST",
            "city": "BATESVILLE",
            "state": "MS",
            "postal_code": "386062533",
            "telephone_number": "662-563-7681",
            "fax_number": "662-563-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "MAGAN",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "C.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-25",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MS",
            "license": "R883141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, MS

Sources for this page

Verify at the official NPI Registry.