MRS. KELLY MARIE MCSHANE (NP) – Family Nurse Practitioner, NPI 1598073231

MRS. KELLY MARIE MCSHANE (NP) is a healthcare provider. based in Michigan city, Indiana. specializing in NURSE PRACTITIONER. They hold the professional credentials NP. They hold a License No. 28170048A (IN). The NPI Number for MRS. KELLY MARIE MCSHANE (NP) is 1598073231

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
MRS. KELLY MARIE MCSHANE (NP)
NPI
1598073231
Phone
(219) 488-7781
Address
301 W HOMER ST
Enumeration Date
15 September 2010
Last Update Date
24 September 2012

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2193651166
Graduation Year
2010 (16 years ago)
PAC ID
6103009394
Group Practice PAC ID
3678737012
Professional Enrollment ID
I20110325000158
Address ID
IN463739487SA9660XAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:15State licenses:1Digital endpointsOther names

8,191 NURSE PRACTITIONER in IN

Provider Addresses for MRS. KELLY MARIE MCSHANE (NP)

  • 301 W HOMER ST

    MICHIGAN CITY, IN 463604358

    Phone: (219) 488-7781

    Type: Location

  • 10420 BULL RUN DR

    SAINT JOHN, IN 463739109

    Phone: (219) 488-7781

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $411.

Total Amount is formed as General ($411) + Research ($0) + Ownership ($0) = $411.

Last reported payment date: 2024-09-26 • Largest payer in this snapshot: Optinose US, Inc. ($135).

Total Amount

$411

General + Research + Ownership

Payments

4

Total payment records

General Amount

$411

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2011-03-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110325000158INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes316300$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza142138$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)7575$0
87807Detection test by immunoassay with direct visual observation for respiratory syncytial virus3939$0
99214Established patient office or other outpatient visit, 30-39 minutes3434$0
View full utilization report →

Insurance plans in this area (ZIP 46360)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678737012View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
-IN
Nurse PractitionerIN
-IN
Cardiovascular Disease (Cardiology), Cardiac ElectrophysiologyIL
Nurse PractitionerIN
-IN
Gynecological Oncology, Obstetrics/GynecologyIN
-IN
Nurse PractitionerIN

Reviews

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Frequently asked questions

What identifier follows MRS. KELLY MARIE MCSHANE (NP) across health systems?
The NPI 1598073231 uniquely identifies MRS. KELLY MARIE MCSHANE (NP) in U.S. healthcare data.
Is MRS. KELLY MARIE MCSHANE (NP) currently accepting referrals based on NPI status?
Registry metadata lists MRS. KELLY MARIE MCSHANE (NP) as active.
Which specialty label fits MRS. KELLY MARIE MCSHANE (NP)?
NPPES ties MRS. KELLY MARIE MCSHANE (NP) to Family Nurse Practitioner in the taxonomy section. Clinical services aligned with this taxonomy classification.
What city is tied to MRS. KELLY MARIE MCSHANE (NP)?
The directory associates MRS. KELLY MARIE MCSHANE (NP) with Michigan City, Indiana. Check all listed addresses for suites or satellite offices.
Why is information missing for MRS. KELLY MARIE MCSHANE (NP)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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