SHAWNEE LYNN KELLISON (RNBCFNP) – General Practice Registered Nurse, NPI 1063495463

SHAWNEE LYNN KELLISON (RNBCFNP) is a healthcare provider. based in Kirksville, Missouri. specializing in General Practice Registered Nurse. They hold the professional credentials RNBCFNP. They hold a License No. 113721 (MO). The NPI Number for SHAWNEE LYNN KELLISON (RNBCFNP) is 1063495463

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
SHAWNEE LYNN KELLISON (RNBCFNP)
NPI
1063495463
Phone
(660) 626-2191
Address
700 W JEFFERSON ST
Enumeration Date
21 November 2005
Last Update Date
2 February 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6609560487
Graduation Year
1996 (30 years ago)
PAC ID
8325053531
Group Practice PAC ID
3476983370
Professional Enrollment ID
I20060209000168
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness85
Years active:20State licenses:2Digital endpointsOther names

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Provider Addresses for SHAWNEE LYNN KELLISON (RNBCFNP)

  • 700, West Jefferson Street, Kirksville, Adair County, Missouri, 63501, United States

    PO BOX 7545

    KIRKSVILLE, MO 635011441

    Phone: (660) 626-2191

    Fax: (660) 626-2396

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63501)

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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: 3476983370View full group profile
NameSpecialtyState
DR. ROBERT WAYNE JACKSON (D.O.)
Rheumatology, Internal MedicineMO
SHAYLA SANDERS (FNP-BC)
Nurse PractitionerIA

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Frequently asked questions

What is the registry number for SHAWNEE LYNN KELLISON (RNBCFNP)?
The registry entry for SHAWNEE LYNN KELLISON (RNBCFNP) shows NPI 1063495463.
Does the public listing show SHAWNEE LYNN KELLISON (RNBCFNP) as active?
SHAWNEE LYNN KELLISON (RNBCFNP)'s NPI record reflects an active status in NPPES.
What services align with SHAWNEE LYNN KELLISON (RNBCFNP)'s listing?
SHAWNEE LYNN KELLISON (RNBCFNP)'s public classification highlights General Practice Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHAWNEE LYNN KELLISON (RNBCFNP)?
SHAWNEE LYNN KELLISON (RNBCFNP) is associated with Kirksville, Missouri in the same public data insurers reference.
Can I export SHAWNEE LYNN KELLISON (RNBCFNP)'s record?
You can download the official NPPES record; we summarize key fields for readability.