SHELLY R KEESLING (PA-C) – Physician Assistant, NPI 1356743835
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,303 PHYSICIAN ASSISTANT in KS
Provider Addresses for SHELLY R KEESLING (PA-C)
9300 E 29TH ST N STE 310
WICHITA, KS 672262160
Phone: (316) 612-1833
Fax: (316) 612-2420
Type: Mailing
2300 N 14TH AVE STE 104
DODGE CITY, KS 678012367
Phone: (620) 225-8865
Fax: (620) 225-8866
Type: Location
2020 CENTRAL AVE
DODGE CITY, KS 678016411
Phone: (620) 227-1371
Fax: (620) 227-1206
Type: Mailing
210 E 30TH AVE
SUITE 110
HUTCHINSON, KS 675022475
Phone: (620) 663-8200
Fax: (620) 663-8201
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 65 Open Payments records for all available years, with a total value of $1,166.
Total Amount is formed as General ($1,166) + Research ($0) + Ownership ($0) = $1,166.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($244).
Total Amount
$1,166
General + Research + Ownership
Payments
65
Total payment records
General Amount
$1,166
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $244 |
| Amgen Inc. | $227 |
| Janssen Biotech, Inc. | $143 |
| E.R. Squibb & Sons, L.L.C. | $113 |
| Sun Pharmaceutical Industries Inc. | $80 |
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: 2014-10-27
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 |
|---|---|---|---|---|
| I20141027001281 | I | Physician Assistant | KS | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 2,317 | 418 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 1,344 | 817 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 839 | 572 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 257 | 214 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 220 | 166 | $0 |
Insurance plans in this area (ZIP 67226)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| D E R M A T O L O G Y | UT | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Physician Assistant | KS | |
| Micrographic Dermatologic Surgery (Mds), Dermatology | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS |
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