Ann Shipley, CRNP in Pleasant Grove, UT - Medicare Nurse Practitioner

Ann Shipley, CRNP is a medicare enrolled "Nurse Practitioner" in Pleasant Grove, Utah. Her current practice location is 360 S 1300 W, Pleasant Grove, Utah. You can reach out to her office (for appointments etc.) via phone at (385) 440-1400.

Ann Shipley is licensed to practice in Utah (license number 11193762-4405) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1003213901.

Contact Information

	Ann Shipley, CRNP
	360 S 1300 W, Pleasant Grove, UT 84062-3761
	(385) 440-1400
	Not Available

Map and Direction

Provider's Profile

Full Name	Ann Shipley
Gender	Female
Speciality	Nurse Practitioner
Location	360 S 1300 W, Pleasant Grove, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003213901
Provider Enumeration Date: 11/21/2014
Last Update Date: 03/26/2020

Medicare PECOS Information:

PECOS PAC ID: 1557685575
Enrollment ID: I20150122002433

Medical Identifiers

Medical identifiers for Ann Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003213901	NPI	-	NPPES
SP013990	Other	PA	CRNP FAMILY HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	SP013990 (Pennsylvania)	Secondary
363L00000X	Nurse Practitioner	11193762-4405 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ann Shipley allows following entities to bill medicare on her behalf.

Entity Name	Highlands Hospital And Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447443957 PECOS PAC ID: 2769460757 Enrollment ID: O20040707001195

Entity Name	Efren Leonida Md Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730453440 PECOS PAC ID: 1153582523 Enrollment ID: O20120411000388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ann Shipley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ann Shipley, CRNP 360 S 1300 W, Pleasant Grove, UT 84062-3761 Ph: (385) 440-1400	Ann Shipley, CRNP 360 S 1300 W, Pleasant Grove, UT 84062-3761 Ph: (385) 440-1400

Reviews and Comments

Nurse Practitioner Nurses in Pleasant Grove, UT

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Ruth A Hooper, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 830 N 2000 W, Pleasant Grove, UT 84062 Phone: 801-756-3511 Fax: 801-756-1705
Dr. Brianna Lastre, DNP, WHNP, CNM Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1446 W Pleasant Grove Blvd., Pleasant Grove, UT 84062 Phone: 801-785-5100

Ann Shipley, CRNP - Medicare Nurse Practitioner in Pleasant Grove, UT