JONATHAN KIPP SHIPLEY (AGACNP-DNP) – Acute Care Nurse Practitioner, NPI 1720548225
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,664 NURSE PRACTITIONER in TN
Provider Addresses for JONATHAN KIPP SHIPLEY (AGACNP-DNP)
130 CINEMA DR APT 1105
HENDERSONVILLE, TN 370756393
Phone: (865) 851-2999
Type: Mailing
1212 Medical Center Drive
Nashville, TN 372320001
Phone: (615) 322-2386
Type: Location
3841 GREEN HILLS VILLAGE DR STE 200
NASHVILLE, TN 372152691
Phone: (615) 936-2000
Type: Mailing
1161 21ST AVE S RM T-1218
NASHVILLE, TN 372320001
Phone: (615) 322-0938
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $163.
Total Amount is formed as General ($163) + Research ($0) + Ownership ($0) = $163.
Last reported payment date: 2024-09-13 • Largest payer in this snapshot: ABIOMED ($163).
Total Amount
$163
General + Research + Ownership
Payments
3
Total payment records
General Amount
$163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABIOMED | $163 |
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: 2019-07-19
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 |
|---|---|---|---|---|
| I20190719000763 | I | Nurse Practitioner | TN | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 24 | 23 | $0 |
Insurance plans in this area (ZIP 37075)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | TN | |
| Pediatric Medicine | TN | |
| - | TN | |
| - | TN | |
| Diagnostic Radiology, Interventional Pain Management | TN | |
| Certified Registered Nurse Anesthetist (Crna) | TN | |
| N E U R O L O G Y | TN | |
| - | TN | |
| Physician Assistant | TN | |
| Internal Medicine | TN |
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