Individual provider Active NPI

Caitlyn Marie Shipley, APRN

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1366285546
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229257 Issued in AR
Practice address
1420 N H St
Fort Smith, AR 72901-2871
Phone
(479) 784-8131
Fax
(479) 709-6125
NPI assigned
Jun 17, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229257 AR Primary

Addresses

Primary practice location

1420 N H St
Fort Smith, AR 72901-2871

Mailing address

1420 N H St
Fort Smith, AR 72901-2871
Phone (479) 784-8131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240926001704 AR Practitioner - Nurse Practitioner 4082155346 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, shared by 4 NPIs, 361 clinicians

Practice addresses (Care Compare)

3501 We Knight Dr
Fort Smith, AR 72903-6254
Phone (479) 709-6700

6801 Rogers Ave
FL 3
Fort Smith, AR 72903-4067
Phone (479) 573-3042

7003 Chad Colley Blvd
Barling, AR 72923-3000
Phone (479) 431-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229257ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Paris CurrentSince Sep 8, 2024 Accepting new patients
Mercy Hospital Waldron CurrentSince Aug 15, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 15, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 31, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince Aug 15, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 31, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Aug 31, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 15, 2024 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 15, 2024 Accepting new patients
Mercy Hospital Waldron CurrentSince Aug 15, 2024 Accepting new patients
Mercy Hospital Paris CurrentSince Sep 8, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Aug 15, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Sep 8, 2024 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients

Locations

7003 Chad Colley Blvd
Barling, AR 72923
Phone (479) 431-3493

1 Mercy Way
Bella Vista, AR 72714
Phone (479) 802-5555

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

107 S Logan St
Charleston, AR 72933
Phone (479) 573-3120

6801 Rogers Ave
Fl 3
Fort Smith, AR 72903
Phone (479) 274-4000

7001 Rogers Ave
Ste 401A
Fort Smith, AR 72903
Phone (479) 314-4650

1420 N H St
Fort Smith, AR 72901
Phone (479) 784-8131

3501 We Knight Dr
Fort Smith, AR 72903
Phone (479) 709-6700

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

303 S 5th St
Paris, AR 72855
Phone (479) 314-3154

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1366285546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 N H ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012871",
            "telephone_number": "479-784-8131",
            "fax_number": "797-096-1254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 N H ST",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729012871",
            "telephone_number": "479-784-8131",
            "fax_number": "479-709-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "CAITLYN",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-17",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "229257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.