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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jacob Wayne Shipley, M.D.

Pain Medicine Physician in Somerset, PA · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1063643856

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Registry record

Entity type Individual (Type 1)
Name Dr. Jacob Wayne Shipley
Credential M.D.
Sex Male
Practice address 126 E Church St Ste 2400, Somerset, PA, 15501
Fax (814) 443-5499
Enumeration date Jul 28, 2009
Last updated in NPPES Mar 8, 2021

Taxonomy & licenses

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians · License MD450197 (PA) Secondary
207LP2900X Pain Medicine (Anesthesiology) Physician Allopathic & Osteopathic Physicians · License 35.123054 (OH) Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians · License MD450197 (PA) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
H318750 Other OH MEDICARE PTAN
CI6140 Other PA RAILROAD MEDICARE
618271100 Other OH ACS DEPT OF LABOR WC
0015083500031 Medicaid PA -
002533543 Other PA HIGHMARK BLUE SHIELD
000000873681 Other OH ANTHEM BCBS
12700751 Other OH CAQH
710929 Other PA MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jacob Shipley's NPI record?
Cross-check NPI 1063643856 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1063643856 active?
Yes, as of the latest NPPES snapshot, NPI 1063643856 is active (record last updated 2021-03-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-03-08.