SHELLEY KELLER CLARK (AG-ACNP) – Acute Care Nurse Practitioner, NPI 1376077636
Acute Care Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,243 NURSE PRACTITIONER in FL
Provider Addresses for SHELLEY KELLER CLARK (AG-ACNP)
8510 N LAGOON DR
PANAMA CITY BEACH, FL 324084518
Phone: (850) 294-1282
Type: Mailing
615 N BONITA AVE
PANAMA CITY, FL 324013623
Phone: (850) 294-1282
Type: Location
708 BREAKFAST POINT BLVD
PANAMA CITY BEACH, FL 324072534
Phone: (850) 294-1282
Type: Mailing
2232 W 24TH ST
PANAMA CITY, FL 324052226
Phone: (850) 215-3024
Type: Location
449 W 23rd St
Panama City, FL 324054507
Phone: (850) 769-8341
Type: Location
286, Forest Park Circle, Panama City, Bay County, Florida, 32405, United States
PANAMA CITY, FL 324054921
Phone: (850) 640-0663
Fax: (850) 215-7096
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 94 Open Payments records for all available years, with a total value of $2,205.
Total Amount is formed as General ($2,205) + Research ($0) + Ownership ($0) = $2,205.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($379).
Total Amount
$2,205
General + Research + Ownership
Payments
94
Total payment records
General Amount
$2,205
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $379 |
| Amgen Inc. | $342 |
| Janssen Biotech, Inc. | $232 |
| UCB, Inc. | $206 |
| AstraZeneca Pharmaceuticals LP | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180207002174 | I | Nurse Practitioner | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 1,904 | 399 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 296 | 174 | $0 |
| 99239 | Hospital discharge day management, more than 30 minutes | 139 | 136 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 107 | 105 | $0 |
| 99238 | Hospital discharge day management, 30 minutes or less | 99 | 99 | $0 |
Insurance plans in this area (ZIP 32408)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| R H E U M A T O L O G Y | FL | |
| - | FL |
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