Shelley Keller Clark, AG-ACNP in Panama City, FL

Shelley Keller Clark, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Panama City, Florida. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Bay Arthritis Institute and her current practice location is 2232 W 24th St, Panama City, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 215-3024.

Shelley Keller Clark is licensed to practice in Florida (license number ARNP9288435) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376077636.

Contact Information

	Shelley Keller Clark, AG-ACNP
	2232 W 24th St, Panama City, FL 32405-2226
	(850) 215-3024
	Not Available

Map and Direction

Provider's Profile

Full Name	Shelley Keller Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	2232 W 24th St, Panama City, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shelley Keller Clark graduated from nursing school in 2016

NPI Data:

NPI Number: 1376077636
Provider Enumeration Date: 04/13/2017
Last Update Date: 03/27/2025

Medicare PECOS Information:

PECOS PAC ID: 6103186358
Enrollment ID: I20180207002174

Medical Identifiers

Medical identifiers for Shelley Keller Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376077636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	ARNP9288435 (Florida)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	ARNP9288435 (Florida)	Secondary
363LA2100X	Nurse Practitioner - Acute Care	ARNP9288435 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Gulf Coast Regional Medical Center	Panama city, FL	Hospital
Ascension Sacred Heart Bay	Panama city, FL	Hospital
Ascension Sacred Heart Gulf	Port saint joe, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bay Arthritis Institute	9335379429	3

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. Shelley Keller Clark allows following entities to bill medicare on her behalf.

Entity Name	Bay Arthritis Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073935540 PECOS PAC ID: 9335379429 Enrollment ID: O20140312000439

Entity Name	Institute Of Endocrinology Diabetes Health And Hormones
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376951541 PECOS PAC ID: 8729300454 Enrollment ID: O20141208000293

Entity Name	Hni Hospital Services Of Florida Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144851411 PECOS PAC ID: 0244661353 Enrollment ID: O20200505001799

Entity Name	Hospital Medicine Services Of Fl, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710684857 PECOS PAC ID: 9234596743 Enrollment ID: O20230526001457

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. Shelley Keller Clark 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 Address	Practice Location Address
Shelley Keller Clark, AG-ACNP 708 Breakfast Point Blvd, Panama City Beach, FL 32407-2534 Ph: (850) 294-1282	Shelley Keller Clark, AG-ACNP 2232 W 24th St, Panama City, FL 32405-2226 Ph: (850) 215-3024

Reviews and Comments

Nurse Practitioner Nurses in Panama City, FL

Kaylyn Marie Khan, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3808 E 3rd St, Panama City, FL 32401 Phone: 850-785-9511 Fax: 850-763-9494
Mrs. Elizabeth Ruth Doss, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-913-6960 Fax: 850-913-6961
Janine Jones, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 615 N Bonita Ave, Panama City, FL 32401 Phone: 850-769-1511
Kimberly Mcconnell, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 103 E 23rd St, Panama City, FL 32405 Phone: 850-769-0338 Fax: 850-640-2195
Anaiya D Ruano Olivero, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 625 W Baldwin Rd Ste C, Panama City, FL 32405 Phone: 850-769-0329 Fax: 844-563-8135
Mrs. Linda Jolene Gemsch, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2420 Jenks Ave, Suite 5, Panama City, FL 32405 Phone: 850-763-3635 Fax: 850-770-3265
Mrs. Suzanne Selley Martincak, CNM, FNP, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5610 Highway 2297, Panama City, FL 32404 Phone: 850-387-5111 Fax: 850-252-6166

Shelley Keller Clark, AG-ACNP - Medicare Nurse Practitioner in Panama City, FL