Shailynn Nicole Shipley, APRN, CNP

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

6188 Issued in MN

Practice address

2501 Keenan Drive
International Falls, MN 56649

Phone

(218) 283-9431

NPI assigned

Sep 18, 2018

Last updated

Sep 18, 2018By 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 MN

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

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

International Falls Memorial Hospital AssociationGroup PAC ID 1951365998, 18 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rainy Lake Medical Center Hospital, International Falls, MN, CCN 241322
• Rainy Lake Medical Center Nursing home, CCN 24Z322

Merit-based Incentive Payment System (MIPS)

Final score

92.39 of 100Reported as group

Quality

86.16

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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.

• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Medicare reassignment Care Compare group NPD
• International Falls Memorial Hospital Association

  dba Rainy Lake Pharmacy

  • Pharmacy
  • International Falls, MN
  • NPI 1275284374
  NPD
• Essentia Health Virginia, LLC

  dba Essentia Health International Falls Clinic

  • Multi-Specialty Clinic/Center
  • International Falls, MN
  • NPI 1386682045
  NPD (past)

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

• International Falls Memorial Hospital Association

  dba Rainy Lake Medical Center

  • Critical Access Hospital
  • International Falls, MN
  • NPI 1528041183
  Care Compare affiliation

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

{
    "created_epoch": "1537228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1679057475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 KEENAN DRIVE",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 KEENAN DRIVE",
            "city": "INTERNATIONAL FALLS",
            "state": "MN",
            "postal_code": "56649",
            "telephone_number": "218-283-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPLEY",
        "first_name": "SHAILYNN",
        "middle_name": "NICOLE",
        "credential": "APRN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-18",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "6188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Ross, RN
• Gordon Leroy Routier, D.C.
• Sanford Health of Northern Minnesota (Sanford Health International Falls Eye Clinic)
• Sanford Health of Northern Minnesota (Sanford Health International Falls Eye Center & Optical)
• Amy Schaffer, MA, LPP, LPC
• Roxanne Tillie Skogstad-Ditsch, M.ED., N.A.D.-III, L
• Jesse Allan Skogstad I, PHARMD
• Jenny Skoog, PTA
• Nicholas Lee Starr, PSYD
• Anthony Christian Stone

• Family Medicine Physician in International Falls, MN
• Providers in International Falls, MN by specialty
• Family Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.