Jonathan Kipp Shipley, AGACNP-DNP in Nashville, TN

Jonathan Kipp Shipley, AGACNP-DNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Nashville, Tennessee. He went to Rush Medical College Of Rush University and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Vanderbilt University Medical Center and his current practice location is 1161 21st Ave S Rm T-1218, Nashville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 322-0938.

Jonathan Kipp Shipley is licensed to practice in Tennessee (license number 25635) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720548225.

Contact Information

	Jonathan Kipp Shipley, AGACNP-DNP
	1161 21st Ave S Rm T-1218, Nashville, TN 37232-0001
	(615) 322-0938
	Not Available

Map and Direction

Provider's Profile

Full Name	Jonathan Kipp Shipley
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	1161 21st Ave S Rm T-1218, Nashville, Tennessee
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jonathan Kipp Shipley attended and graduated from Rush Medical College Of Rush University in 2018

NPI Data:

NPI Number: 1720548225
Provider Enumeration Date: 03/21/2019
Last Update Date: 04/24/2024

Medicare PECOS Information:

PECOS PAC ID: 4385970904
Enrollment ID: I20190719000763

Medical Identifiers

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

Identifier	Type	State	Issuer
1720548225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	25635 (Tennessee)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	25635 (Tennessee)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vanderbilt University Medical Center	Nashville, TN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Vanderbilt University Medical Center	5092023416	2742

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. Jonathan Kipp Shipley allows following entities to bill medicare on his behalf.

Entity Name	Vanderbilt University Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104202761 PECOS PAC ID: 5092023416 Enrollment ID: O20151006000369

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. Jonathan Kipp 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
Jonathan Kipp Shipley, AGACNP-DNP 3841 Green Hills Village Dr Ste 200, Nashville, TN 37215-2691 Ph: (615) 936-2000	Jonathan Kipp Shipley, AGACNP-DNP 1161 21st Ave S Rm T-1218, Nashville, TN 37232-0001 Ph: (615) 322-0938

Reviews and Comments

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Jonathan Kipp Shipley, AGACNP-DNP - Medicare Nurse Practitioner in Nashville, TN