AMANDA J SHIPP (NP) – Nurse Practitioner, NPI 1336757228
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,204 NURSE PRACTITIONER in TX
Provider Addresses for AMANDA J SHIPP (NP)
5810 BOSTICK DR
TYLER, TX 757072025
Phone: (903) 738-8219
Type: Mailing
700 OLYMPIC PLAZA CIR STE 850
TYLER, TX 757011955
Phone: (903) 595-2441
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $116.
Total Amount is formed as General ($116) + Research ($0) + Ownership ($0) = $116.
Last reported payment date: 2023-09-06 • Largest payer in this snapshot: Medtronic, Inc. ($116).
Total Amount
$116
General + Research + Ownership
Payments
1
Total payment records
General Amount
$116
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-09-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $116 |
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: 2020-09-24
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 |
|---|---|---|---|---|
| I20200924002410 | I | Nurse Practitioner | TX | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 54 | $0 |
| 22853 | Insertion of cage or mesh device to spine bone and disc space during spine fusion | 67 | 39 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 44 | 44 | $0 |
| 63048 | Partial removal of spine bone with release of spinal cord and/or nerves, each additional segment | 39 | 28 | $0 |
| 63047 | Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment | 32 | 32 | $0 |
Insurance plans in this area (ZIP 75707)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| N E U R O S U R G E R Y | TX | |
| N E U R O S U R G E R Y | TX |
Reviews
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