Dr Kimberly Alice Shipley, DNP/FNP; ARNP is a medicare enrolled "Nurse Practitioner - Family" physician in Yakima, Washington. She graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Thuthi Enterprises Llc, Yakima Avenue Medical Clinic Pllc and her current practice location is
409 S 12th Ave, Yakima, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 575-2949.
Dr Kimberly Alice Shipley is licensed to practice in Washington (license number AP60777569) 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 1083128524.
Physician's Profile
| Full Name | Dr Kimberly Alice Shipley |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 19 Years |
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| Location | 409 S 12th Ave, Yakima, Washington |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly Alice Shipley graduated from medical school in 2005
NPI Data:
- NPI Number: 1083128524
- Provider Enumeration Date: 11/20/2017
- Last Update Date: 01/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 9537407556
- Enrollment ID: I20190215001851
Medical Identifiers
Medical identifiers for Dr Kimberly Alice Shipley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083128524 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | AP60777569 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP60777569 (Washington) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Thuthi Enterprises Llc | 3870903099 | 10 |
| Yakima Avenue Medical Clinic Pllc | 4082869367 | 4 |
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. Dr Kimberly Alice Shipley allows following entities to bill medicare on her behalf.
| Entity Name | Yakima Avenue Medical Clinic Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629365374
PECOS PAC ID: 4082869367
Enrollment ID: O20130313000347 |
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| Entity Name | Thuthi Enterprises Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851919476
PECOS PAC ID: 3870903099
Enrollment ID: O20201029000913 |
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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. Dr Kimberly Alice 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 |
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Dr Kimberly Alice Shipley, DNP/FNP; ARNP
Po Box 2069,
Selah, WA 98942-0015
Ph: (509) 480-9317 | Dr Kimberly Alice Shipley, DNP/FNP; ARNP
409 S 12th Ave,
Yakima, WA 98902-3114
Ph: (509) 575-2949 |
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