Shawnee Lynn Kellison, RNBCFNP - Medicare Registered Nurse in Kirksville, MO

Shawnee Lynn Kellison, RNBCFNP is a medicare enrolled "Registered Nurse - General Practice" in Kirksville, Missouri. Her current practice location is 700 W Jefferson St, Kirksville, Missouri. You can reach out to her office (for appointments etc.) via phone at (660) 626-2191.

Shawnee Lynn Kellison is licensed to practice in Missouri (license number 113721) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1063495463.

Contact Information

Shawnee Lynn Kellison, RNBCFNP
700 W Jefferson St,
Kirksville, MO 63501-1441
(660) 626-2191
(660) 626-2396

Map and Direction




Provider's Profile

Full NameShawnee Lynn Kellison
GenderFemale
SpecialityRegistered Nurse - General Practice
Location700 W Jefferson St, Kirksville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063495463
  • Provider Enumeration Date: 11/21/2005
  • Last Update Date: 01/21/2008
  Medicare PECOS Information:
  • PECOS PAC ID: 8325053531
  • Enrollment ID: I20060209000168

Medical Identifiers

Medical identifiers for Shawnee Lynn Kellison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063495463NPI-NPPES
501218200OtherMOMEDICAID GROUP #
428713812MedicaidMO
DG4290OtherMORAILROAD MEDICARE GROUP #
000014853OtherMEDICARE GROUP #
P00435145OtherMORAILROAD MEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WG0000XRegistered Nurse - General Practice 113721 (Missouri)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shawnee Lynn Kellison allows following entities to bill medicare on her behalf.
Entity NamePutnam County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609870195
PECOS PAC ID: 7911915327
Enrollment ID: O20060327000726
Entity NamePutnam County Memorial Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1609870195
PECOS PAC ID: 7911915327
Enrollment ID: O20100205000711
Entity NameKirksville Specialty Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386126308
PECOS PAC ID: 3476983370
Enrollment ID: O20200416001776

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shawnee Lynn Kellison is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shawnee Lynn Kellison, RNBCFNP
700 W Jefferson St, Po Box 7545,
Kirksville, MO 63501-1441

Ph: (660) 626-2191
Shawnee Lynn Kellison, RNBCFNP
700 W Jefferson St,
Kirksville, MO 63501-1441

Ph: (660) 626-2191

Reviews and Comments


Registered Nurse Nurses in Kirksville, MO

Heidi B Henderson, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Jamison St, Kirksville, MO 63501
Phone: 660-665-1962    Fax: 660-627-0642
Keely Dyan Schoonover, FNP
Registered Nurse
Medicare: Medicare Enrolled
Practice Location: 1506 Crown Dr, Kirksville, MO 63501
Phone: 660-627-4493    
Sarah Rimer, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Jamison St, Kirksville, MO 63501
Phone: 660-665-1962    Fax: 660-627-0642
Ann Marie Bibbs, MSN, RN, NP-C
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1611 S Baltimore St Ste A, Kirksville, MO 63501
Phone: 660-665-7575    Fax: 660-665-7576
Francine Lee, RN
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1101 Jamison St, Kirksville, MO 63501
Phone: 660-665-1962    Fax: 660-627-0642
Courtney R Nichols, NP-C
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 1611 S Baltimore St Ste A, Kirksville, MO 63501
Phone: 660-665-7575    Fax: 660-665-7576

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.