Doctor profile · Federal record
Dr. Kelly Shantz, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Certified Registered Nurse Anesthetist · Fairmont, MN
- NPI 1477540995
- Accepts Medicare
- 25 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
800 Medical Center Dr
Fairmont, MN 560314575
(507) 238-8555 - Additional location
-
805 Johnson St
Fairmont, MN 560314523
(507) 238-8100
fax (507) 238-8642
Credentials & registration
- NPI registered
- September 2005 — 21 yrs on file
- Profile last updated
- September 17, 2020
- Year of graduation
- 2001 — 25 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (2)
- Minnesota #868 · Minnesota #R 162289-8
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1477540995. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
41
Distinct HCPCS
1
Medicare allowed
$5,607
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 41 | 41 | $137 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 38. This provider delivers 1.1× the peer median.Hospital affiliations
Frequently asked questions
What is Dr. Kelly Shantz's medical specialty?
Dr. Kelly Shantz practices Certified Registered Nurse Anesthetist in Fairmont, MN.
Where does Dr. Kelly Shantz practice?
Dr. Kelly Shantz practices at 800 Medical Center Dr, Fairmont, MN 560314575. Office phone: 5072388555.
What is Dr. Kelly Shantz's NPI?
Dr. Kelly Shantz's National Provider Identifier (NPI) is 1477540995, issued by NPPES.
Does Dr. Kelly Shantz accept Medicare assignment?
Yes. Dr. Kelly Shantz accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Shantz commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.