Active NPI
Shawna Renee Shipman, ARNP
- Family Nurse Practitioner
- Cleveland, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 76268
- Practice address
- 1400 W Pawnee St
Cleveland, OK 74020-3020 - Phone
- (918) 358-3588
- Fax
- (918) 358-2639
- NPI assigned
- Mar 12, 2012
- Sex
- Female
- Sole proprietor
- No
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 | 76268 | OK | Primary |
Addresses
Primary practice location
1400 W Pawnee St
Cleveland, OK 74020-3020
Mailing address
100 N Hickerson Dr
Cleveland, OK 74020-4003
Phone (918) 358-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200443320A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cleveland Area Hospital Authority
Practice addresses (Care Compare)
1400 W Pawnee St
Cleveland, OK 74020-3020
1401 W Pawnee St
Cleveland, OK 74020-3020
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cleveland Area Hospital Holdings, Inc. | Current | Accepting new patients | |
| Cleveland Area Hospital Holdings, Inc. | Current | Accepting new patients | |
| Cleveland Area Hospital Authority | Current | Accepting new patients | |
| Cleveland Area Hospital Holdings, Inc. | Past | Accepting new patients |
Locations
1401 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-2501
1400 W Pawnee St
Cleveland, OK 74020
Phone (918) 358-3588
Interoperability endpoints
- shawna.shipman.1@13140.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Cleveland Area Hospital Professional Services
- Emergency Medical Services (Emergency Medicine) Physician
- Cleveland, OK
- NPI 1801020565
-
dba Cleveland Area Hospital
- Critical Access Hospital
- Cleveland, OK
- NPI 1427295872
-
dba Lake Area Medical Associates
- General Practice Physician
- Cleveland, OK
- NPI 1174774855
-
dba Lake Area Medical Associates
- Rural Health Clinic/Center
- Cleveland, OK
- NPI 1588160774
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
dba Cleveland Area Hospital
- Critical Access Hospital
- Cleveland, OK
- NPI 1427295872
-
dba Angels Care Home Health of East Oklahoma
- Home Health Agency
- Broken Arrow, OK
- NPI 1851359194
-
dba Elara Caring XXV
- Home Health Agency
- Tulsa, OK
- NPI 1437164969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639440000000",
"number": "1639444532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HICKERSON DR",
"city": "CLEVELAND",
"state": "OK",
"postal_code": "740204003",
"telephone_number": "918-358-1600",
"fax_number": "918-358-5402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 W PAWNEE ST",
"city": "CLEVELAND",
"state": "OK",
"postal_code": "740203020",
"telephone_number": "918-358-3588",
"fax_number": "918-358-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHIPMAN",
"first_name": "SHAWNA",
"middle_name": "RENEE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-03-12",
"last_updated": "2021-12-14",
"certification_date": "2021-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OK",
"license": "76268",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200443320A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.