Active NPI
Shantell Shipp, FNP-C
- Family Nurse Practitioner
- Prescott, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP10327
- Practice address
- 743 Miller Valley Rd
Prescott, AZ 86301-1813 - Phone
- (928) 777-9600
- Fax
- (855) 449-5560
- NPI assigned
- Nov 18, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP10327 | AZ | Primary |
Addresses
Primary practice location
743 Miller Valley Rd
Prescott, AZ 86301-1813
Mailing address
743 Miller Valley Rd
Prescott, AZ 86301-1813
Phone (928) 777-9600
Other practice location 1
12075 E Az 69
Ste B
Dewey, AZ 86327
Phone (928) 772-1673
Other practice location 2
3336 E Chandler Heights Rd Ste 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645
Other practice location 3
3015 Az-95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001
Other practice location 4
16928 W Bell Rd Ste 701
Surprise, AZ 85374-8948
Phone (623) 850-0026
Other practice location 5
12361 W Bola Dr Ste 109
Surprise, AZ 85378-9021
Phone (623) 227-1000
Other practice location 6
9171 W Thunderbird Rd Ste 101
Peoria, AZ 85381-4872
Phone (623) 877-0100
Other practice location 7
3552 W Baseline Rd Ste 140
Laveen, AZ 85339-3042
Phone (602) 635-6951
Other practice location 8
7725 N 43rd Ave Ste 105
Phoenix, AZ 85051-5770
Phone (623) 207-5465
Other practice location 9
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403-9309
Phone (928) 453-1970
Other practice location 10
5902 E Pima St
Tucson, AZ 85712-4322
Phone (520) 886-5315
Other practice location 11
286 S Lenzner Ave
Sierra Vista, AZ 85635-5685
Phone (520) 452-0388
Other practice location 12
2171 W Orange Grove Rd
Tucson, AZ 85741-3118
Phone (520) 297-3907
Other practice location 13
3251 N Windsong Dr
Prescott Valley, AZ 86314-1222
Phone (928) 772-2582
Other practice location 14
26224 N Tatum Blvd Ste 15A
Phoenix, AZ 85050-7500
Phone (480) 663-9632
Other practice location 15
450 S Willard St Ste 103
Cottonwood, AZ 86326-6744
Phone (928) 634-9573
Other practice location 16
10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone (623) 259-6749
Other practice location 17
560 N Camino Mercado Ste 7
Casa Grande, AZ 85122-5759
Phone (520) 836-5538
Other practice location 18
725 W Elliot Rd Ste 105
Gilbert, AZ 85233-5301
Phone (480) 963-6144
Other practice location 19
4135 S Power Rd Ste 129
Mesa, AZ 85212-3627
Phone (480) 751-3091
Other practice location 20
2501 N Stockton Hill Rd Ste 108
Kingman, AZ 86401-4140
Phone (928) 255-5050
Other practice location 21
4365 E Pecos Rd Ste 134
Gilbert, AZ 85295-8053
Phone (480) 840-9155
Other practice location 22
21321 E Ocotillo Rd Ste 133
Queen Creek, AZ 85142-5995
Phone (480) 987-5525
Other practice location 23
3931 N Stockton Hill Rd
Kingman, AZ 86409-2426
Phone (928) 385-7100
Other practice location 24
87 Az-89
Chino Valley, AZ 86323
Phone (928) 404-1488
Other practice location 25
2500 Canyon Rd Ste A1
Bullhead City, AZ 86442-8492
Phone (928) 704-4499
Other practice location 26
2035 Mesquite Ave
Lake Havasu City, AZ 86403-5894
Phone (928) 208-4598
Other practice location 27
18275 N 59th Ave Ste 138
Glendale, AZ 85308-1253
Phone (602) 564-0078
Other practice location 28
285 N Broad St
Globe, AZ 85501-2503
Phone (928) 425-8200
Other practice location 29
1300 S 20th Ave
Safford, AZ 85546-3301
Phone (928) 428-3122
Other practice location 30
1620 E Wilcox Dr
Sierra Vista, AZ 85635-2778
Phone (520) 459-0362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10705 W Peoria Ave
Sun City, AZ 85351-4061
Phone (623) 259-6749
183 W Apache TRL
Suite B109
Apache Junction, AZ 85120-3425
Phone (480) 618-0945
2850 E Main St
Suite 106
Mesa, AZ 85213-9304
Phone (480) 618-0019
3336 E Chandler Heights Rd
Suite 132
Gilbert, AZ 85298-4264
Phone (480) 988-4645
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Oak Street Health Physicians Group of Arizona PLLC | Nurse Practitioner | Current | Accepting new patients |
| Nextcare Arizona LLC | Current | Accepting new patients | |
| Good Health Medical, PLLC | Current | Accepting new patients | |
| Medical Experts of Texas, P.a. | Current | Accepting new patients | |
| Nextcare Arizona I JV LLC | Current | Accepting new patients | |
| Prescott Healthcare Solutions LLC | Family | Current | Accepting new patients |
| Livn, P.C. | Past | Accepting new patients |
Locations (25 of 51)
2080 W Southern Ave
Bldg A1
Apache Junction, AZ 85120
Phone (480) 985-0172
11435 W Buckeye Rd
Ste A106
Avondale, AZ 85323
Phone (703) 415-6994
2500 Canyon Rd
Ste A1
Bullhead City, AZ 86442
Phone (928) 704-4499
3015 Highway 95
Ste 105
Bullhead City, AZ 86442
Phone (928) 763-2001
560 N Camino Mercado
Ste 7
Casa Grande, AZ 85122
Phone (520) 836-5538
87 S US Highway 89
Chino Valley, AZ 86323
Phone (928) 404-1488
450 S Willard St
Ste 103
Cottonwood, AZ 86326
Phone (928) 634-4231
450 S Willard St
Ste 120
Cottonwood, AZ 86326
Phone (928) 634-2574
1000 N Humphreys St
Ste 104
Flagstaff, AZ 86001
Phone (928) 779-3844
428 S Gilbert Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 632-7400
3336 E Chandler Heights Rd
Ste 132
Gilbert, AZ 85298
Phone (480) 988-4645
4365 E Pecos Rd
Ste 134
Gilbert, AZ 85295
Phone (480) 497-3946
3336 E Chandler Heights Rd
Ste 113
Gilbert, AZ 85298
Phone (480) 440-8666
725 W Elliot Rd
Ste 105
Gilbert, AZ 85233
Phone (480) 963-6114
9494 W Northern Ave
Ste 101
Glendale, AZ 85305
Phone (623) 872-2226
18301 N 79th Ave
Ste G190
Glendale, AZ 85308
Phone (602) 932-8597
18275 N 59th Ave
Ste 138
Glendale, AZ 85308
Phone (602) 564-0078
3931 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 385-7100
2501 N Stockton Hill Rd
Ste 108
Kingman, AZ 86401
Phone (928) 255-5050
309 Lake Havasu Ave S
Lake Havasu City, AZ 86403
Phone (928) 453-1970
3552 W Baseline Rd
Ste 140
Laveen, AZ 85339
Phone (602) 635-6941
2035 Mesquite Ave
Lk Havasu Cty, AZ 86403
Phone (928) 208-4598
4135 S Power Rd
Ste 129
Mesa, AZ 85212
Phone (480) 751-3091
2850 E Main St
Ste 106
Mesa, AZ 85213
Phone (480) 618-0019
8914 N 91st Ave
Ste 100A
Peoria, AZ 85345
Phone (623) 877-0100
Interoperability endpoints
- https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
- sshipp18983@mydrnow.gardenplot.direct-ci.com
Organizations & group practices 9
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.
-
- Primary Care Clinic/Center
- Apache Junction, AZ
- NPI 1063083590
Nurse Practitioner
-
dba Optima Medical
- Family Medicine Physician
- Prescott, AZ
- NPI 1821454505
-
- Hospitalist Physician
- Lewisville, TX
- NPI 1730395989
-
- Urgent Care Clinic/Center
- Tempe, AZ
- NPI 1114798071
-
- Family Medicine Physician
- Chandler, AZ
- NPI 1245759307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762905600000",
"number": "1417490756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "743 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011813",
"telephone_number": "928-777-9600",
"fax_number": "855-449-5560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "743 MILLER VALLEY RD",
"city": "PRESCOTT",
"state": "AZ",
"postal_code": "863011813",
"telephone_number": "928-777-9600",
"fax_number": "855-449-5560"
}
],
"practiceLocations": [
{
"address_1": "12075 E AZ 69",
"address_2": "STE B",
"address_purpose": "LOCATION",
"city": "Dewey",
"state": "AZ",
"postal_code": "86327",
"country_code": "US",
"telephone_number": "928-772-1673",
"fax_number": "928-772-1674",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3336 E Chandler Heights Rd Ste 132",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852984264",
"country_code": "US",
"telephone_number": "480-988-4645",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3015 AZ-95",
"address_2": "Ste 105",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "86442",
"country_code": "US",
"telephone_number": "928-763-2001",
"fax_number": "928-763-2038",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16928 W Bell Rd Ste 701",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853748948",
"country_code": "US",
"telephone_number": "623-850-0026",
"fax_number": "623-850-0027",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12361 W Bola Dr Ste 109",
"address_purpose": "LOCATION",
"city": "Surprise",
"state": "AZ",
"postal_code": "853789021",
"country_code": "US",
"telephone_number": "623-227-1000",
"fax_number": "623-227-2000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9171 W Thunderbird Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Peoria",
"state": "AZ",
"postal_code": "853814872",
"country_code": "US",
"telephone_number": "623-877-0100",
"fax_number": "623-328-8713",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3552 W Baseline Rd Ste 140",
"address_purpose": "LOCATION",
"city": "Laveen",
"state": "AZ",
"postal_code": "853393042",
"country_code": "US",
"telephone_number": "602-635-6951",
"fax_number": "602-635-6952",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7725 N 43rd Ave Ste 105",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850515770",
"country_code": "US",
"telephone_number": "623-207-5465",
"fax_number": "623-207-5405",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 Lake Havasu Ave S",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864039309",
"country_code": "US",
"telephone_number": "928-453-1970",
"fax_number": "855-538-3082",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5902 E Pima St",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857124322",
"country_code": "US",
"telephone_number": "520-886-5315",
"fax_number": "877-209-7377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "286 S Lenzner Ave",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856355685",
"country_code": "US",
"telephone_number": "520-452-0388",
"fax_number": "520-452-0388",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2171 W Orange Grove Rd",
"address_purpose": "LOCATION",
"city": "Tucson",
"state": "AZ",
"postal_code": "857413118",
"country_code": "US",
"telephone_number": "520-297-3907",
"fax_number": "520-989-3486",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3251 N Windsong Dr",
"address_purpose": "LOCATION",
"city": "Prescott Valley",
"state": "AZ",
"postal_code": "863141222",
"country_code": "US",
"telephone_number": "928-772-2582",
"fax_number": "877-319-1729",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26224 N Tatum Blvd Ste 15A",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850507500",
"country_code": "US",
"telephone_number": "480-663-9632",
"fax_number": "623-748-1914",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "450 S Willard St Ste 103",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AZ",
"postal_code": "863266744",
"country_code": "US",
"telephone_number": "928-634-9573",
"fax_number": "928-634-0135",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10705 W Peoria Ave",
"address_purpose": "LOCATION",
"city": "Sun City",
"state": "AZ",
"postal_code": "853514061",
"country_code": "US",
"telephone_number": "623-259-6749",
"fax_number": "602-930-4975",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "560 N Camino Mercado Ste 7",
"address_purpose": "LOCATION",
"city": "Casa Grande",
"state": "AZ",
"postal_code": "851225759",
"country_code": "US",
"telephone_number": "520-836-5538",
"fax_number": "844-722-0049",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "725 W Elliot Rd Ste 105",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852335301",
"country_code": "US",
"telephone_number": "480-963-6144",
"fax_number": "480-899-1404",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4135 S Power Rd Ste 129",
"address_purpose": "LOCATION",
"city": "Mesa",
"state": "AZ",
"postal_code": "852123627",
"country_code": "US",
"telephone_number": "480-751-3091",
"fax_number": "480-751-3095",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2501 N Stockton Hill Rd Ste 108",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864014140",
"country_code": "US",
"telephone_number": "928-255-5050",
"fax_number": "888-571-5897",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4365 E Pecos Rd Ste 134",
"address_purpose": "LOCATION",
"city": "Gilbert",
"state": "AZ",
"postal_code": "852958053",
"country_code": "US",
"telephone_number": "480-840-9155",
"fax_number": "480-840-9320",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21321 E Ocotillo Rd Ste 133",
"address_purpose": "LOCATION",
"city": "Queen Creek",
"state": "AZ",
"postal_code": "851425995",
"country_code": "US",
"telephone_number": "480-987-5525",
"fax_number": "480-987-5115",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3931 N Stockton Hill Rd",
"address_purpose": "LOCATION",
"city": "Kingman",
"state": "AZ",
"postal_code": "864092426",
"country_code": "US",
"telephone_number": "928-385-7100",
"fax_number": "855-538-3114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "87 AZ-89",
"address_purpose": "LOCATION",
"city": "Chino Valley",
"state": "AZ",
"postal_code": "86323",
"country_code": "US",
"telephone_number": "928-404-1488",
"fax_number": "866-232-8580",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2500 Canyon Rd Ste A1",
"address_purpose": "LOCATION",
"city": "Bullhead City",
"state": "AZ",
"postal_code": "864428492",
"country_code": "US",
"telephone_number": "928-704-4499",
"fax_number": "928-704-4949",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2035 Mesquite Ave",
"address_purpose": "LOCATION",
"city": "Lake Havasu City",
"state": "AZ",
"postal_code": "864035894",
"country_code": "US",
"telephone_number": "928-208-4598",
"fax_number": "888-571-6436",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "18275 N 59th Ave Ste 138",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853081253",
"country_code": "US",
"telephone_number": "602-564-0078",
"fax_number": "602-564-1154",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "285 N Broad St",
"address_purpose": "LOCATION",
"city": "Globe",
"state": "AZ",
"postal_code": "855012503",
"country_code": "US",
"telephone_number": "928-425-8200",
"fax_number": "928-425-8406",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1300 S 20th Ave",
"address_purpose": "LOCATION",
"city": "Safford",
"state": "AZ",
"postal_code": "855463301",
"country_code": "US",
"telephone_number": "928-428-3122",
"fax_number": "928-428-7917",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1620 E Wilcox Dr",
"address_purpose": "LOCATION",
"city": "Sierra Vista",
"state": "AZ",
"postal_code": "856352778",
"country_code": "US",
"telephone_number": "520-459-0362",
"fax_number": "520-458-1585",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHIPP",
"first_name": "SHANTELL",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2025-11-12",
"certification_date": "2025-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "AP10327",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.