Active NPI
Magan L Shipp, C.N.P.
- Nurse Practitioner
- Batesville, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- R883141
- 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, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Vitalcaring Group
- University of Mississippi Medical Center- Grenada
- Panola Medical Center
- Baptist Memorial Hospital North Ms
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.67 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 65.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.59 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| R883141 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Batesville Clinic, P.a. | Current | 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.
-
- Health Service Clinic/Center
- Batesville, MS
- NPI 1164604682
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1154317527
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1609984574
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oxford, MS
- NPI 1053375576
-
dba University of Mississippi Center - Grenada Psych
- Psychiatric Hospital
- Grenada, MS
- NPI 1083041917
-
dba University of Mississippi Center-Grenada
- General Acute Care Hospital
- Grenada, MS
- NPI 1558798603
-
dba Panola Medical Center
- Rural Acute Care Hospital
- Batesville, MS
- NPI 1053873307
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.