MATTHEW SHIPMAN – Family Nurse Practitioner, NPI 1124878780

MATTHEW SHIPMAN is a healthcare provider. based in Overland park, Kansas. specializing in NURSE PRACTITIONER. They hold a License No. 53-83025-091 (KS). The NPI Number for MATTHEW SHIPMAN is 1124878780

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
MATTHEW SHIPMAN
NPI
1124878780
Phone
(913) 780-3388
Address
10550 QUIVIRA RD STE 530
Enumeration Date
26 March 2024
Last Update Date
6 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8165311234
Graduation Year
2023 (3 years ago)
PAC ID
7810335080
Group Practice PAC ID
9032006853
Professional Enrollment ID
I20250925001260
Address ID
MO641115931KA4321XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

3,576 NURSE PRACTITIONER in KS

Provider Addresses for MATTHEW SHIPMAN

  • 10550 QUIVIRA RD STE 530

    OVERLAND PARK, KS 662152307

    Phone: (913) 780-3388

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $402.

Total Amount is formed as General ($402) + Research ($0) + Ownership ($0) = $402.

Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Teleflex LLC ($197).

Total Amount

$402

General + Research + Ownership

Payments

11

Total payment records

General Amount

$402

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-25

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-09-25

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240406000154INurse PractitionerKSTBD
I20250925001260INurse PractitionerMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 66215)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9032006853View full group profile
NameSpecialtyState
U R O L O G YOR
Physician AssistantKS
-KS
U R O L O G YMO
U R O L O G YMO
Nurse PractitionerMO
Physician AssistantKS
U R O L O G YMO
U R O L O G YMO
Physician AssistantMO

Reviews

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Frequently asked questions

Can I use this page to confirm MATTHEW SHIPMAN's NPI?
Yes. MATTHEW SHIPMAN is listed with NPI 1124878780 in the public NPI dataset.
Is MATTHEW SHIPMAN still practicing?
MATTHEW SHIPMAN is currently listed as active in the public NPI registry.
What taxonomy line describes MATTHEW SHIPMAN?
For research purposes, treat MATTHEW SHIPMAN as Family Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MATTHEW SHIPMAN on a map?
Expect Overland Park, Kansas as a primary anchor for MATTHEW SHIPMAN unless the record lists multiple sites.
Is the information about MATTHEW SHIPMAN up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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