Individual provider Active NPI

Caitlin Clare Shipp, PA

  • Physician Assistant
  • Kansas City, MO
National Provider Identifier
1356173041
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2025004014 Issued in MO
Practice address
1950 Diamond Pkwy Ste 200
Kansas City, MO 64116-4329
Phone
(816) 842-6717
Fax
(816) 842-2574
NPI assigned
Aug 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1503050 KS
Physician Assistant 363A00000X
Physician Assistant 363A00000X 2025004014 MO Primary

Addresses

Primary practice location

1950 Diamond Pkwy Ste 200
Kansas City, MO 64116-4329

Mailing address

1950 Diamond Pkwy Ste 200
Kansas City, MO 64116-4329
Phone (816) 842-6717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 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
I20250222000236 MO Practitioner - Physician Assistant 3779003694 Reassigns benefits to 1 organization
I20250307000193 KS Practitioner - Physician Assistant 3779003694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas City Urology Care PAGroup PAC ID 9032006853, 71 clinicians

Practice addresses (Care Compare)

10701 Nall Ave
Suite 100
Overland Park, KS 66211-1244
Phone (913) 341-7985

17525 Medical Ctr Pkwy
Independence, MO 64057-1824
Phone (816) 994-3150

2750 Clay Edwards Dr
North Kansas City, MO 64116-3258
Phone (816) 524-1007

2800 Clay Edwards Dr
Kansas City, MO 64116-3220
Phone (816) 691-2000

4321 Washington St
Suite 5300
Kansas City, MO 64111-5931
Phone (816) 531-1234

8551 Bluejacket St
Overland Park, KS 66214-1656

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas City Urology Care, P.a. CurrentSince Feb 9, 2025 Accepting new patients

Locations

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

1950 Diamond Pkwy
Ste 200
North Kansas City, MO 64116
Phone (816) 842-6717

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 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": "1724112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1356173041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164329",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 DIAMOND PKWY STE 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641164329",
            "telephone_number": "816-842-6717",
            "fax_number": "816-842-2574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "CAITLIN",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-20",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KS",
            "license": "1503050",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2025004014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.