Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacqueline R Shipman, PA-C

Individual provider Surgical Physician Assistant · NPI 1154779213

Jacqueline R Shipman, PA-C is a Physician Assistant in Elkins, West Virginia. Qualified in 1987, 39 years ago. Practices with United Hospital Center Inc, a 291-clinician group and accepts Medicare assignment. Licensed in West Virginia.

Years since qualifying
39
Licensed in
WV
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

812 Gorman Ave
Elkins, WV 26241-3181
Phone: (304) 636-3300
Fax: (304) 637-3441
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 812 (WV)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 812 (WV)

Record details

NPI number1154779213
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 31, 2016
Last updated in NPPESMay 1, 2024
Certification dateMay 1, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice United Hospital Center Inc — 291 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare