Kenneth Shackelford, DNP, APRN, FNP-BC
NPI 1811774417 · Family Nurse Practitioner · Festus, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kenneth Shackelford, DNP, APRN, FNP-BC is a Family Nurse Practitioner provider in Festus, MO (NPI 1811774417).
Provider details
- NPI number
- 1811774417
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- DNP, APRN, FNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 2023036843 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
2 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,094 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 482 | $103 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 283 | $74 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 141 | $13 |
| Testing for Presence of Drug, By Chemistry Analyzers80307 | 73 | $60 |
| Electronic Analysis of Implanted Neurostimulator Generator With Complex Spinal Cord Or Peripheral Nerve Stimulator Programming95972 | 38 | $46 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 9 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 136 | 49 |
| Tizanidine Hcl | 96 | 41 |
| Methylprednisolone | 45 | 40 |
| Baclofen | 42 | 15 |
| Celecoxib | 39 | 18 |
| Duloxetine Hcl | 35 | — |
| Meloxicam | 30 | — |
| Amitriptyline Hcl | 22 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$383 across 6 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 500 Chesterfield Ctr Ste 250Chesterfield, MO 63017-4833Phone: (636) 519-8889
Registry dates
- Enumerated
- 2023-09-08
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Frequently asked questions
- What is Kenneth Shackelford's NPI number?
- Kenneth Shackelford's National Provider Identifier (NPI) is 1811774417, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kenneth Shackelford's specialty?
- Kenneth Shackelford is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kenneth Shackelford located?
- Kenneth Shackelford's practice location on file with NPPES is 1405 N Truman Blvd, Festus, MO 63028-1177.
- What is Kenneth Shackelford's phone number?
- The practice phone number listed in the NPPES registry for Kenneth Shackelford is (636) 933-2243.
- Does Kenneth Shackelford accept Medicare?
- Kenneth Shackelford is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kenneth Shackelford's NPI active?
- Yes — Kenneth Shackelford's NPI (1811774417) is active in the NPPES registry as of the last update on 2023-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.