Individual provider Active NPI

Michael Charles Shipman, PAC

  • Physician Assistant
  • Lancaster, PA
National Provider Identifier
1437159951
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA000192L Issued in PA
Practice address
734 N Franklin St
Lancaster, PA 17602-2176
Phone
(717) 295-2323
Fax
(717) 295-7294
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA000192L PA Primary

Addresses

Primary practice location

734 N Franklin St
Lancaster, PA 17602-2176

Mailing address

734 N Franklin St
Lancaster, PA 17602-2176
Phone (717) 295-2323

Other identifiers 3

IdentifierTypeStateIssuer
158841OtherPAMEDICARE GROUP NUMBER
1437159951OtherPANPI
028667OtherPAMEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040331000609 PA Practitioner - Physician Assistant 0042202020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.94 of 100Reported as group
Quality
73.24
Improvement activities
40
Cost
77.38

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen G. Diamantoni, MD and Associates Family Practice CurrentSince Apr 24, 2010 Accepting new patients
Stephen Diamantoni & Associates Family Practice PC CurrentSince Apr 24, 2010 Accepting new patients
Penn State Health Medical Group, LLC Past Accepting new patients
Lancaster Hma Physician Management, LLC Past Accepting new patients

Locations

734 N Franklin St
Lancaster, PA 17602
Phone (717) 295-2323

2112 Harrisburg Pike
Ste 3
Lancaster, PA 17601
Phone (717) 431-3000

Interoperability endpoints

  • Direct secure messaging: mshipman@diamantoni.directbygreenway.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1437159951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 N FRANKLIN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176022176",
            "telephone_number": "717-295-2323",
            "fax_number": "717-295-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPMAN",
        "first_name": "MICHAEL",
        "middle_name": "CHARLES",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA000192L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "158841",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437159951",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "028667",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

Verify at the official NPI Registry.