Kenzie Shippy, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0005859 Issued in CO

Practice address

3540 S Poplar St Ste 200
Denver, CO 80237-1362

Phone

(303) 226-0013

Fax

(303) 757-6148

NPI assigned

Jul 23, 2019

Last updated

Jul 23, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Mednow Clinics, IncGroup PAC ID 0042533242, 56 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kenzie.shippy.1@14209.direct.athenahealth.com

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.

• Mednow Clinics, Inc

  dba MedNOW Clinics - Aurora

  • Family Medicine Physician
  • Aurora, CO
  • NPI 1669888764
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1649823113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "303-226-0013",
            "fax_number": "303-757-6148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 S POPLAR ST STE 200",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802371362",
            "telephone_number": "303-226-0013",
            "fax_number": "303-757-6148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPY",
        "first_name": "KENZIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0005859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristin Elaine Shipman, M.D.
• Sarah Elise Shipman, MA
• Erin Shippee, OTD, OTR/L
• Hannah Lowell Shippey
• Bethany Shipps, LCSW
• Maya Rangini Shipway
• Ann Kristen Shiramizu, M.T.
• Elaine S Shiramizu, L.AC., DIPL.AC.,M.AC
• Deborah Shirey
• Dylan Patrick Shirey

• Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; 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.

Verify at the official NPI Registry.