Kelly Shipley, AG-ACNP, FNP, CNRN - Medicare Nurse Practitioner in Bartlesville, OK

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Kelly Shipley, AG-ACNP, FNP, CNRN is a medicare enrolled "Nurse Practitioner - Family" in Bartlesville, Oklahoma. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. John Physicians, Inc. and her current practice location is 226 Se Debell Ave Ste B, Bartlesville, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 331-1060.

Kelly Shipley is licensed to practice in Oklahoma (license number 76809) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1952843120.

Contact Information

Kelly Shipley, AG-ACNP, FNP, CNRN
226 Se Debell Ave Ste B,
Bartlesville, OK 74006-2300
(918) 331-1060
(918) 331-1065

Map and Direction




Provider's Profile

Full NameKelly Shipley
GenderFemale
SpecialityNurse Practitioner
Experience10 Years
Location226 Se Debell Ave Ste B, Bartlesville, Oklahoma
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Shipley graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1952843120
  • Provider Enumeration Date: 11/04/2016
  • Last Update Date: 02/09/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1951683796
  • Enrollment ID: I20170131001345

Medical Identifiers

Medical identifiers for Kelly Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952843120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 76809 (Oklahoma)Secondary
363LF0000XNurse Practitioner - Family 76809 (Oklahoma)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension At HomeBartlesville, OKHome health agency
Ascension St John Jane PhillipsBartlesville, OKHospital
Ascension St John OwassoOwasso, OKHospital
Coffeyville Regional Medical Center, IncCoffeyville, KSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St. John Physicians, Inc.2567366495262

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. Kelly Shipley allows following entities to bill medicare on her behalf.
Entity NameSt. John Physicians, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336194406
PECOS PAC ID: 2567366495
Enrollment ID: O20031121000867
Entity NameHospitalist Medicine Physicians of Texas PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20180326002260
Entity NameUsacs Observation Medicine Services of Oklahoma, LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326739111
PECOS PAC ID: 9931562956
Enrollment ID: O20230823004181

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. Kelly 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 AddressPractice Location Address
Kelly Shipley, AG-ACNP, FNP, CNRN
3500 E Frank Phillips Blvd,
Bartlesville, OK 74006-2411

Ph: (918) 331-1089		Kelly Shipley, AG-ACNP, FNP, CNRN
226 Se Debell Ave Ste B,
Bartlesville, OK 74006-2300

Ph: (918) 331-1060

Reviews and Comments


Nurse Practitioner Nurses in Bartlesville, OK

Kelsey Leigh Brittingham,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3450 E Frank Phillips Blvd Ste 400, Bartlesville, OK 74006
Phone: 918-338-3740    Fax: 918-338-3742
Mrs. Amber Nacole Roberts, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3500 E Frank Phillips Blvd, Bartlesville, OK 74006
Phone: 918-333-7200    
Katherine Marie Anderson, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3500 Sw Frank Phillips, Bartlesville, OK 74006
Phone: 918-766-1699    
Kathryn Marlow, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3460 E Frank Phillips Blvd, Bartlesville, OK 74006
Phone: 918-332-3600    
Dr. Kristie Nicole Mattix, DNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3400 E Frank Phillips Blvd Ste 501, Bartlesville, OK 74006
Phone: 918-331-2415    Fax: 918-331-2551
Mrs. Kaleigh Dohn Bryant, RN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3460 E Frank Phillips Blvd, Bartlesville, OK 74006
Phone: 918-332-3600    Fax: 918-948-6535
Mrs. Priscella Ann Caron, DNP, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 226 Se De Bell Ave Building B, Bartlesville, OK 74006
Phone: 918-331-1020    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.