Shannon Kelley, PMHNP, LCSW, CASAC
NPI 1902089238 · Psychiatric/Mental Health Nurse Practitioner · Syracuse, NY
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shannon Kelley, PMHNP, LCSW, CASAC is a Psychiatric/Mental Health Nurse Practitioner provider in Syracuse, NY (NPI 1902089238).
Provider details
- NPI number
- 1902089238
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP, LCSW, CASAC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 082228-1 (NY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Behavioral Health & Social Service Providers
Nursing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-12-10
- Last updated
- 2021-02-25
- Certified
- 2021-02-24
Frequently asked questions
- What is Shannon Kelley's NPI number?
- Shannon Kelley's National Provider Identifier (NPI) is 1902089238, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shannon Kelley's specialty?
- Shannon Kelley is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Shannon Kelley located?
- Shannon Kelley's practice location on file with NPPES is 713 Harrison St, Syracuse, NY 13210-2305.
- What is Shannon Kelley's phone number?
- The practice phone number listed in the NPPES registry for Shannon Kelley is (315) 464-7655.
- Does Shannon Kelley accept Medicare?
- Shannon Kelley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shannon Kelley's NPI active?
- Yes — Shannon Kelley's NPI (1902089238) is active in the NPPES registry as of the last update on 2021-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.