MRS. JENNIFER LYNN SHIPP (FNP-BC) – Family Nurse Practitioner, NPI 1316450497

MRS. JENNIFER LYNN SHIPP (FNP-BC) is a healthcare provider. based in Atlanta, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-BC. They hold a License No. AP135184 (TX). The NPI Number for MRS. JENNIFER LYNN SHIPP (FNP-BC) is 1316450497

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JENNIFER LYNN SHIPP (FNP-BC)
NPI
1316450497
Phone
(903) 796-2868
Address
1011 S WILLIAM ST
Enumeration Date
10 November 2017
Last Update Date
28 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9037911110
Graduation Year
2021 (5 years ago)
PAC ID
3375801707
Group Practice PAC ID
8820038565
Professional Enrollment ID
I20171213000159
Address ID
TX755033536TE1400XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for MRS. JENNIFER LYNN SHIPP (FNP-BC)

  • 1011 S WILLIAM ST

    ATLANTA, TX 755513245

    Phone: (903) 796-2868

    Fax: (903) 796-0268

    Type: Location

  • 401, Texas Boulevard, Texarkana, Bowie County, Texas, 75501, United States

    TEXARKANA, TX 755015113

    Phone: (903) 794-8820

    Fax: (903) 794-8878

    Type: Mailing

  • PO BOX 1326

    MARSHALL, TX 756711326

    Phone: (903) 927-3782

    Fax: (903) 927-1764

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 14 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($239).

Total Amount

$573

General + Research + Ownership

Payments

14

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2017-12-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171213000159INurse PractitionerTXTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count8553$0
80053Blood test, comprehensive group of blood chemicals8150$0
80061Blood test, lipids (cholesterol and triglycerides)5939$0
84443Blood test, thyroid stimulating hormone (tsh)4333$0
84439Thyroxine (thyroid chemical), free4233$0
View full utilization report →

Insurance plans in this area (ZIP 75551)

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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: 8820038565View full group profile
NameSpecialtyState
-TX
O B S T E T R I C S/ G Y N E C O L O G YLA
Family PracticeTX
Nurse PractitionerTX
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Mental Health CounselorAR
Mental Health CounselorAR
Clinical Social WorkerAR

Reviews

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Frequently asked questions

Where can patients find MRS. JENNIFER LYNN SHIPP (FNP-BC)'s NPI?
You can confirm MRS. JENNIFER LYNN SHIPP (FNP-BC) with NPI 1316450497; it appears in the national provider directory.
Is MRS. JENNIFER LYNN SHIPP (FNP-BC)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. JENNIFER LYNN SHIPP (FNP-BC)?
The page reflects Family Nurse Practitioner for MRS. JENNIFER LYNN SHIPP (FNP-BC). Clinical services aligned with this taxonomy classification.
What location shows for MRS. JENNIFER LYNN SHIPP (FNP-BC)?
We surface Atlanta, Texas for MRS. JENNIFER LYNN SHIPP (FNP-BC) based on available NPPES addresses.
What if Atlanta, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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