Individual provider Active NPI

Jessica Lynn Peel, OD

  • Optometrist
  • Billings, MT
National Provider Identifier
1417060104
Registry record updated May 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
787 Issued in MT
Practice address
1331 24TH St W
Billings, MT 59102-3860
Phone
(406) 656-5846
NPI assigned
Aug 16, 2006
Last updated
May 19, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2887AT OR
Optometrist 152W00000X 787 MT Primary

Addresses

Primary practice location

1331 24TH St W
Billings, MT 59102-3860

Mailing address

1331 24TH St W
Billings, MT 59102-3860
Phone (406) 794-7656

Other identifiers 4

IdentifierTypeStateIssuer
011002682OtherMTRENDERING PTAN
011002681OtherMTBILLING PTAN
1417060104MedicaidMT
1801037916OtherMTMEDICARE BILLING PROVIDER NPI

Other names 1

  • Jessica Lynn Schipman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090608000189 MT Practitioner - Optometry 7315988755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

316 S 24TH St W
Suite B101
Billings, MT 59102-5605
Phone (406) 652-7297

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
787MTMDOptometrist
2887ATORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Mar 15, 2023 Accepting new patients
Shoptikal LLC Optometrist CurrentSince Mar 15, 2023 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

316 S 24th St W
Ste B101
Billings, MT 59102
Phone (406) 652-7297

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274227200000",
    "number": "1417060104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 24TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023860",
            "telephone_number": "406-794-7656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 24TH ST W",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591023860",
            "telephone_number": "406-656-5846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEEL",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2887AT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MT",
            "license": "787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RENDERING PTAN",
            "identifier": "011002682",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BILLING PTAN",
            "identifier": "011002681",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417060104",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING PROVIDER NPI",
            "identifier": "1801037916",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SCHIPMAN",
            "middle_name": "LYNN",
            "credential": "OD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Billings, MT

Sources for this page

Verify at the official NPI Registry.