Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174154256 Individual Practitioner Male Practitioner

Jared C. Shipley , PA-C

Physician Assistant • Rancho Mirage, CA

Professional Overview & Biography Verified Profile Summary

Jared Shipley, PA-C is a registered healthcare professional specializing in Physician Assistant in Rancho Mirage, CA. Practice services are available at 39000 BOB HOPE DR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

39000 Bob Hope Dr

Rancho Mirage, CA 922703221

Telephone 7603403911
Fax 7607731481
Associated Practice Facility / Clinic
🏢 Barbara C. Comess, M.d., Inc. Facility NPI 1235123183

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Rancho Mirage, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
57 Specialists

Practicing in Rancho Mirage, CA (14617 Statewide)

Telehealth Adoption Rate
17.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
65 64 $382.00 $104.94
99213 Established patient office or other outpatient visit, typically 15 minutes
31 31 $270.00 $75.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
18 18 $535.00 $149.75

Medical Specialties & State Licenses

CMS Verified: 2024-12-10
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA65044

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License FL PA9112971

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
105771600 (FL)
Commercial Insurance / Payer ID Florida Board Of Medicine
9112971 (FL)
Commercial Insurance / Payer ID Nccpa
1171095
Commercial Insurance / Payer ID Bcbs Fl
2PV1U (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Norma Zapata , LCSW

Social Worker - Clinical

NPI 1003024555

Licensed Clinical Social Worker

Dr. Peter Sofia , MD

Anesthesiology

NPI 1003159484

Doctor of Medicine (M.D.)

NPI 1003584814

Physical Therapist, Doctor of Physical Therapy

Molly Mckeown , PA-C

Physician Assistant

NPI 1003589409

Physician Assistant (Certified)

Rosie Knauf , NP

Nurse Practitioner - Family

NPI 1003641085

Nurse Practitioner

Dr. Matthew Varallo , DO

Student in an Organized Health Care Education/Training Program

NPI 1013337229

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

21 Historical Events
📍
Updated Practice Location December 10, 2024

Registered at 39000 BOB HOPE DR, RANCHO MIRAGE, CA 922703221 (Tel: 7603403911)

📍
Updated Business Mailing Address December 10, 2024

Registered at 39000 BOB HOPE DR, RANCHO MIRAGE, CA 922703221 (Tel: 7603403911)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 10, 2024

Physician Assistant (License #PA9112971 in FL)

📍
Updated Practice Location October 25, 2023

Registered at 10920 MOSS PARK RD STE 106, ORLANDO, FL 328326087 (Tel: 4078213582)

📍
Updated Business Mailing Address October 25, 2023

Registered at 10920 MOSS PARK RD STE 106, ORLANDO, FL 328326087 (Tel: 4078213582)

📍
Updated Practice Location August 03, 2023

Registered at 1537 N SINGLETON AVE, TITUSVILLE, FL 327961679 (Tel: 3212416800)

📍
Updated Business Mailing Address August 03, 2023

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: 3219529696)

📍
Updated Practice Location July 26, 2021

Registered at 2120 SARNO RD, MELBOURNE, FL 329353084 (Tel: 3212416800)

📍
Updated Business Mailing Address July 26, 2021

Registered at 2120 SARNO RD, MELBOURNE, FL 329353084 (Tel: 3212416800)

📍
Updated Practice Location March 17, 2021

Registered at 2370 E INTERNATIONAL SPEEDWAY BLVD, DELAND, FL 327242744 (Tel: 3867361105)

📍
Updated Business Mailing Address March 17, 2021

Registered at 2370 E INTERNATIONAL SPEEDWAY BLVD, DELAND, FL 327242744 (Tel: 3867361105)

👤
Provider Name / Credentials Updated March 17, 2021

Recorded as JARED SHIPLEY, PA-C

📍
Updated Practice Location March 21, 2020

Registered at 5520 STEWART ST, MILTON, FL 325704304 (Tel: 8509819433)

📍
Updated Business Mailing Address March 21, 2020

Registered at 2315 W JACKSON ST, PENSACOLA, FL 325057552 (Tel: 8504364630)

👤
Provider Name / Credentials Updated March 21, 2020

Recorded as JARED SHIPLEY, PA

NPI Profile Active January 28, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location January 28, 2020

Registered at 9095 AIRWAY DR APT 1234, PENSACOLA, FL 325143364 (Tel: 1760285431)

📍
Updated Business Mailing Address January 28, 2020

Registered at 9095 AIRWAY DR APT 1234, PENSACOLA, FL 325143364 (Tel: 1760285431)

👤
Provider Name / Credentials Updated January 28, 2020

Recorded as JARED SHIPLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2020

Physician Assistant (License #9112971 in FL)

🟢
Initial NPI Registration & Enumeration January 28, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174154256
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 28, 2020
Last Update: December 10, 2024
Sole Proprietor: No

Mailing Address

39000 Bob Hope Dr

Rancho Mirage, CA 922703221

Phone: 7603403911

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.