Individual provider Active NPI

Shantell Shipp, FNP-C

  • Family Nurse Practitioner
  • Prescott, AZ
National Provider Identifier
1417490756
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP10327 Issued in AZ
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

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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
I20170301002410 TX Practitioner - Nurse Practitioner 2264715150 Reassigns benefits to 1 organization
I20180226002697 AZ Practitioner - Nurse Practitioner 2264715150 Reassigns benefits to 4 organizations

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
Oak Street Health Physicians Group of Arizona PLLCGroup PAC ID 3274939988, 76 clinicians
Prescott Healthcare Solutions LLCGroup PAC ID 4385940295, 199 clinicians

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

OrganizationSpecialtyStatusNew patients
Good Health Medical, PLLC CurrentSince Jul 3, 2019 Accepting new patients
Good Health Medical, PLLC Current Accepting new patients
Oak Street Health Physicians Group of Arizona PLLC Nurse Practitioner CurrentSince Nov 10, 2025 Accepting new patients
Nextcare Arizona LLC CurrentSince Nov 16, 2020 Accepting new patients
Good Health Medical, PLLC CurrentSince Jul 3, 2019 Accepting new patients
Medical Experts of Texas, P.a. CurrentSince Jan 16, 2017 Accepting new patients
Nextcare Arizona I JV LLC Current Accepting new patients
Prescott Healthcare Solutions LLC Family CurrentSince Dec 6, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.