Doctor profile · Federal record
Dr. Kenneth Shackelford, DNP, APRN, FNP-BC
Family Nurse Practitioner (CMS: Nurse Practitioner) · Festus, MO
- NPI 1811774417
- Accepts Medicare
- 3 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
1405 N Truman Blvd
Festus, MO 630281177
(636) 933-2243 - Additional location
-
500 Chesterfield Ctr Ste 250
Chesterfield, MO 630174833
(636) 519-8889 - Mailing address
-
16607 Evergreen Forest Dr
Wildwood, MO 630111800
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Year of graduation
- 2023 — 3 yrs since
- Specialty taxonomy
- 363LF0000X — NUCC code
- State license (1)
- Missouri #2023036843
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811774417. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
57
Distinct HCPCS
2
Medicare allowed
$5,396
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 39 | 37 | $104 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 18 | 17 | $74 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 60. This provider delivers 1.0× the peer median.Open Payments
Industry payments received
All-time total
$383
Transactions
6
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Nevro Corp. | 5 | $364.21 | |
| Curonix LLC | 1 | $18.50 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Kenneth Shackelford's medical specialty?
Dr. Kenneth Shackelford practices Family Nurse Practitioner in Festus, MO.
Where does Dr. Kenneth Shackelford practice?
Dr. Kenneth Shackelford practices at 1405 N Truman Blvd, Festus, MO 630281177. Office phone: 6369332243.
What is Dr. Kenneth Shackelford's NPI?
Dr. Kenneth Shackelford's National Provider Identifier (NPI) is 1811774417, issued by NPPES.
Does Dr. Kenneth Shackelford accept Medicare assignment?
Yes. Dr. Kenneth Shackelford accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kenneth Shackelford commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.