MRS. AMY J SHIPLEY MD NPI 1467402024

NPI Information

  • NPI: 1467402024
  • Provider Name: MRS. AMY J SHIPLEY, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 11200 GOVERNOR MANLY WAY
    SUITE 205
    RALEIGH, NC
    ZIP 27614
  • Phone: (919) 570-7700

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NPI Details

MRS. Amy J Shipley, MD is a family medicine in Raleigh, NC with 14 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MRS. Amy J Shipley, MD NPI is 1467402024. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduation Year:2012

The provider's business location address is:

11200 GOVERNOR MANLY WAY
SUITE 205
RALEIGH, NC
ZIP 27614-599
Phone: (919) 570-7700

The NPI 1467402024 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Advance care planning, first 30 minutes (HCPCS:99497)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)

The enumeration date for this NPI number is 5/12/2006 and was last updated on 8/10/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinical2530NORTH CAROLINANo
2390200000XStudent in an Organized Health Care Education/Training ProgramNo
3207Q00000XFamily Medicine183144NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1140WJOTHERNORTH CAROLINABLUE CROSS BLUE SHIELD
26107351MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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