Jared C Shippee, DPM

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

373091-8907 Issued in UT

Practice address

1515 Shoshone Ave
Spearfish, SD 57783-3032

Phone

(435) 200-5756

NPI assigned

Feb 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SD, WY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Travis J Ptacek MD PLLCGroup PAC ID 1658725692, 10 clinicians

Crook County Medical Services DistrictGroup PAC ID 9234032483, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crook County Hospital Hospital, Sundance, WY, CCN 531311

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Travis J Ptacek MD PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rapid City, SD
  • NPI 1265113260
  Medicare reassignment Care Compare group NPD
• Crook County Medical Services District

  • Critical Access Hospital
  • Sundance, WY
  • NPI 1871660159
  Medicare reassignment Care Compare group
• Careconnectmd South Dakota PC

  • General Practice Physician
  • Sioux Falls, SD
  • NPI 1306527866
  Medicare reassignment NPD
• Walk Perfect, Inc.

  • Foot Surgery Podiatrist
  • Ogden, UT
  • NPI 1235648049
  NPD Authorized official
• Bhpac-SNF PLLC

  • Geriatric Medicine (Family Medicine) Physician
  • Rapid City, SD
  • NPI 1770466161
  Medicare reassignment
• Body Wellness

  • Chiropractor
  • Ogden, UT
  • NPI 1285898254
  NPD (past)

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

• Crook County Medical Services District

  • Critical Access Hospital
  • Sundance, WY
  • NPI 1871660159
  Care Compare affiliation

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1871637033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SHOSHONE AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833032",
            "telephone_number": "435-200-5756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SHOSHONE AVE",
            "city": "SPEARFISH",
            "state": "SD",
            "postal_code": "577833032",
            "telephone_number": "435-200-5756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIPPEE",
        "first_name": "JARED",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "UT",
            "license": "373091-8907",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "UT",
            "license": "373091-8907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SD Specialty Dental Services, LLC
• SD Specialty Dental Services, LLC
• Seco LLC
• Alyssa McKenna Seidel, RDN
• Samantha Seitz
• Sheri Carolyn Short, CSW-PIP
• Ashley Siebrasse, MS
• Loree Siegfried, CSW-PIP, LCSW
• Lynette R Siewert, PAC
• Anthony David Silva, ATC

• Primary Podiatric Medicine Podiatrist in Spearfish, SD
• Providers in Spearfish, SD by specialty
• Primary Podiatric Medicine Podiatrist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2017; 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.