Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jared C. Shipley, PA-C

Physician Assistant in Rancho Mirage, CA · enumerated 2020.

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

National Provider Identifier

1174154256

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Registry record

Entity type Individual (Type 1)

Name Mr. Jared C. Shipley

Credential PA-C

Sex Male

Practice address 39000 Bob Hope Dr, Rancho Mirage, CA, 92270

Phone (760) 340-3911

Fax (760) 773-1481

Enumeration date Jan 28, 2020

Last updated in NPPES Dec 10, 2024

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA9112971 (FL) Secondary

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA65044 (CA) Primary

Other identifiers

Identifier	Type	State	Issuer
105771600	Medicaid	FL	-
9112971	Other	FL	FLORIDA BOARD OF MEDICINE
1171095	Other	-	NCCPA
2PV1U	Other	FL	BCBS FL

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.

Read the full guide → Validate an NPI →

Frequently asked questions

How do I verify Jared Shipley's NPI record?

Cross-check NPI 1174154256 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1174154256 active?

Yes, as of the latest NPPES snapshot, NPI 1174154256 is active (record last updated 2024-12-10).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-10.