Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497497333 Individual Practitioner Female Practitioner

Mishell J Shipman

Pediatrics • Moorhead, MN

Professional Overview & Biography Verified Profile Summary

Mishell Shipman is a registered healthcare professional specializing in Pediatrics in Moorhead, MN. Practice services are available at 4000 28TH AVE S under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4000 28th Ave S

Moorhead, MN 565607926

Telephone 7012343200
Fax 7013243239
Associated Practice Facility / Clinic
🏢 Sanford Medical Center Fargo Facility NPI 1124122783

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Moorhead, MN

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 20.6 Yrs
Regional Practice Density
3 Specialists

Practicing in Moorhead, MN (1325 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MN 81950

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Pediatrics

NUCC Taxonomy Code: 208000000X

State License ND 24124

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

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

35 Associated Practitioners
Carley Bayer , APRN, CNP

Nurse Practitioner

NPI 1013534270

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Samantha Bartelt , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013744937

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

NPI 1043888746

Doctor of Medicine (M.D.)

NPI 1063969590

Bachelor of Arts, Mental Health Practitioner

NPI 1083992002

Doctor of Medicine (M.D.)

Amy Bro , CNP

Nurse Practitioner

NPI 1114314093

Certified Nurse Practitioner

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location July 27, 2026

Registered at 4000 28TH AVE S, MOORHEAD, MN 565607926 (Tel: 7012343200)

📍
Updated Business Mailing Address July 27, 2026

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053286588)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2026

Pediatrics (License #81950 in MN)

👤
Provider Name / Credentials Updated May 26, 2026

Recorded as MISHELL SHIPMAN

📍
Updated Practice Location May 04, 2023

Registered at 1501 RED RIVER ST FL 2, AUSTIN, TX 787121845 (Tel: 5124955555)

📍
Updated Business Mailing Address May 04, 2023

Registered at 1501 RED RIVER ST FL 2, AUSTIN, TX 787121845 (Tel: 5124955555)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 04, 2023

Pediatrics (License #BP10083869 in TX)

NPI Profile Active April 11, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 11, 2022

Registered at 1301 N COLUMBIA RD, GRAND FORKS, ND 582026098 (Tel: 9739087427)

📍
Updated Business Mailing Address April 11, 2022

Registered at 1301 N COLUMBIA RD, GRAND FORKS, ND 582026098

👤
Provider Name / Credentials Updated April 11, 2022

Recorded as MISHELL QUIRIDUMBAY VERDUGO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 11, 2022

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 11, 2022

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: 1497497333
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 11, 2022
Last Update: July 27, 2026
Sole Proprietor: No

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053286588

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.