Individual provider Active NPI

Jeffrey M Shipkey, D.O.

  • General Practice Physician
  • Marquette, MI
National Provider Identifier
1659354256
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5101015122 Issued in MI
Practice address
420 W Magnetic St
Suite ER
Marquette, MI 49855-2711
Phone
(888) 674-0854
Fax
(906) 225-3370
NPI assigned
Nov 29, 2005
Last updated
Mar 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 5101015122 MI
General Practice Physician 208D00000X 5101015122 MI Primary

Addresses

Primary practice location

420 W Magnetic St
Suite ER
Marquette, MI 49855-2711

Mailing address

4602 Dept
Carol Stream, IL 60122-0021
Phone (906) 225-4821

Other practice location 1

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110

Other identifiers 2

IdentifierTypeStateIssuer
4773184MedicaidMI
5101015122OtherMIMICHIGAN LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040910000987 MI Practitioner - Emergency Medicine 4385611276 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munising Memorial Hospital AssociationGroup PAC ID 9830170372, shared by 3 NPIs, 14 clinicians
Acquisition Bell Hospital LLCGroup PAC ID 3971730987, 12 clinicians

Practice addresses (Care Compare)

1500 Sandpoint Rd
Munising, MI 49862-1406
Phone (906) 387-4110

901 Lakeshore Dr
Ishpeming, MI 49849-1367
Phone (906) 486-4431

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101015122MIMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acquisition Bell Hospital LLC CurrentSince Apr 1, 2016 Accepting new patients
Portage Physician Practices Inc CurrentSince Jan 1, 2026 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Munising Memorial Hospital Association CurrentSince Mar 22, 2021 Accepting new patients
Portage Physician Practices Inc Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jan 13, 2010 Accepting new patients
Munising Memorial Hospital Association Current Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. CurrentSince Jan 13, 2010 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Sep 1, 2012 Accepting new patients
Aspirus Iron River Hospital & Clinics, Inc. Current Accepting new patients
Baraga County Memorial Hospital Emergency Medicine CurrentSince Jul 8, 2017 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Munising Memorial Hospital Association CurrentSince Mar 22, 2021 Accepting new patients
Acquisition Bell Hospital LLC CurrentSince Apr 1, 2016 Accepting new patients
Baraga County Memorial Hospital Current Accepting new patients
Baraga County Memorial Hospital CurrentSince Jul 8, 2017 Accepting new patients
Acquisition Bell Hospital LLC Emergency Medicine Past Accepting new patients
Munising Memorial Hospital Association Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000

500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700

1400 W Ice Lake Rd
Iron River, MI 49935
Phone (906) 265-6121

901 Lakeshore Dr
Ishpeming, MI 49849
Phone (906) 485-2653

18341 US Highway 41
Lanse, MI 49946
Phone (906) 524-3300

1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864

420 W Magnetic St
Marquette, MI 49855
Phone (906) 225-3540

420 W Magnetic St
Ste Er
Marquette, MI 49855
Phone (888) 674-0854

580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131

1500 Sandpoint Rd
Munising, MI 49862
Phone (906) 387-4110

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1659354256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 DEPT",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601220021",
            "telephone_number": "906-225-4821",
            "fax_number": "906-225-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 W MAGNETIC ST",
            "address_2": "SUITE ER",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552711",
            "telephone_number": "888-674-0854",
            "fax_number": "906-225-3370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Sandpoint Rd",
            "address_purpose": "LOCATION",
            "city": "Munising",
            "state": "MI",
            "postal_code": "498621406",
            "country_code": "US",
            "telephone_number": "906-387-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPKEY",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101015122",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "5101015122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4773184",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN LICENSE NUMBER",
            "identifier": "5101015122",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.