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

Justin Shippen, DO

Individual provider Family Medicine Physician · NPI 1871941724

Justin Shippen, DO is a Family Practice in Rexburg, Idaho. Qualified in 2016, 10 years ago. Practices with Mountain View Hospital LLC, a 267-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
10
Licensed in
ID
In the registry since
2016
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

450 E Main St
Rexburg, ID 83440-2048
Phone: (208) 356-3691
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 777 N Raymond St, Boise, ID 83704-9251 — (208) 514-2500

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence O-1091 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence MRO-1579 (ID)

Record details

NPI number1871941724
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 1, 2016
Last updated in NPPESApril 15, 2020
Certification dateApril 15, 2020
Mailing address450 E Main St, Rexburg, ID 83440-2048

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Mountain View Hospital Llc — 267 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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