Shannon Shipman, PA-C
NPI 1619788650 · Surgical Physician Assistant · Skokie, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Shipman, PA-C is a Surgical Physician Assistant provider in Skokie, IL (NPI 1619788650).
Provider details
- NPI number
- 1619788650
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085010820 (IL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 5741 W Cermak RdCicero, IL 60804-2129Phone: (708) 222-0100
Registry dates
- Enumerated
- 2025-01-17
- Last updated
- 2026-03-26
- Certified
- 2026-03-26
Frequently asked questions
- What is Shannon Shipman's NPI number?
- Shannon Shipman's National Provider Identifier (NPI) is 1619788650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Shipman's specialty?
- Shannon Shipman is listed in the NPPES registry with a primary specialty of Surgical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Shipman located?
- Shannon Shipman's practice location on file with NPPES is 9669 Kenton Ave Ste 206, Skokie, IL 60076-1226.
- What is Shannon Shipman's phone number?
- The practice phone number listed in the NPPES registry for Shannon Shipman is (847) 504-3300.
- Does Shannon Shipman accept Medicare?
- Shannon Shipman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Shipman's NPI active?
- Yes — Shannon Shipman's NPI (1619788650) is active in the NPPES registry as of the last update on 2026-03-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.