KELLY SHIPLEY (AG-ACNP, FNP, CNRN) – Family Nurse Practitioner, NPI 1952843120
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,299 NURSE PRACTITIONER in OK
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Provider Addresses for KELLY SHIPLEY (AG-ACNP, FNP, CNRN)
East 19th Street, Yorktown, Tulsa, Tulsa County, Oklahoma, 74104, United States
TULSA, OK 741045410
Phone: (918) 331-1089
Fax: (918) 333-1823
Type: Location
3500, East Frank Phillips Boulevard, Bartlesville, Washington County, Oklahoma, 74006, United States
BARTLESVILLE, OK 740062411
Phone: (918) 331-1089
Fax: (918) 333-1823
Type: Mailing
226 SE DEBELL AVE STE B
BARTLESVILLE, OK 740062300
Phone: (918) 331-1060
Fax: (918) 331-1065
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,071.
Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: CSL Behring ($110).
Total Amount
$1,071
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2017-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170131001345 | I | Nurse Practitioner | OK | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 497 | 306 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 136 | 122 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 46 | 46 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 19 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 19 | 19 | $0 |
Insurance plans in this area (ZIP 74104)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| - | OK | |
| - | OK | |
| Family Practice | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| - | OK | |
| Emergency Medicine | OK | |
| - | OK |
Reviews
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