Toshiva Deshane Shippy, FNP - Medicare Nurse Practitioner in Woodruff, SC

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Toshiva Deshane Shippy, FNP is a medicare enrolled "Nurse Practitioner - Family" in Woodruff, South Carolina. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Regenesis Organization Community Health Center and her current practice location is 220 Irby St, Woodruff, South Carolina. You can reach out to her office (for appointments etc.) via phone at (864) 582-2411.

Toshiva Deshane Shippy is licensed to practice in South Carolina (license number 25915) 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 1902540172.

Contact Information

Toshiva Deshane Shippy, FNP
220 Irby St,
Woodruff, SC 29388-1618
(864) 582-2411
(864) 295-2337

Map and Direction




Provider's Profile

Full NameToshiva Deshane Shippy
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location220 Irby St, Woodruff, South Carolina
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:
  • Toshiva Deshane Shippy graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1902540172
  • Provider Enumeration Date: 04/25/2022
  • Last Update Date: 06/01/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 4183001084
  • Enrollment ID: I20220516000707

Medical Identifiers

Medical identifiers for Toshiva Deshane Shippy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902540172NPI-NPPES
NP9529MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 25915 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Regenesis Organization Community Health Center802292800135

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. Toshiva Deshane Shippy allows following entities to bill medicare on her behalf.
Entity NameCarolinas Center for Advanced Management of Pain PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750304002
PECOS PAC ID: 4880593771
Enrollment ID: O20040108000894
Entity NameRegenesis Organization Community Health Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194710426
PECOS PAC ID: 8022928001
Enrollment ID: O20050127000120
Entity NameCareconnectmd South Carolina PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306565973
PECOS PAC ID: 3678934775
Enrollment ID: O20230807000480
Entity NameCommonwealth Pain Associates PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306280177
PECOS PAC ID: 0941441919
Enrollment ID: O20250114003107

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. Toshiva Deshane Shippy 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
Toshiva Deshane Shippy, FNP
Po Box 5158,
Spartanburg, SC 29304-5158

Ph: (864) 582-2411		Toshiva Deshane Shippy, FNP
220 Irby St,
Woodruff, SC 29388-1618

Ph: (864) 582-2411

Reviews and Comments


Nurse Practitioner Nurses in Woodruff, SC

Kathleen Hall, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 511 Cross Anchor Rd, Woodruff, SC 29388
Phone: 864-278-6031    

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.