KELSIE R. SHEHORN (PA-C) – Physician Assistant, NPI 1043635287

KELSIE R. SHEHORN (PA-C) is a healthcare provider. based in Toledo, Ohio. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for KELSIE R. SHEHORN (PA-C) is 1043635287

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE R. SHEHORN (PA-C)
NPI
1043635287
Phone
(419) 291-3627
Address
2142 N COVE BLVD
Enumeration Date
25 February 2014
Last Update Date
3 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4193353242
Graduation Year
2013 (13 years ago)
PAC ID
3274765011
Group Practice PAC ID
8022018704
Professional Enrollment ID
I20140410000829
Address ID
OH435671735WA735XXAVEX404

Contacts

Secure Messaging
kshehorn7876@epicdirect.promedica.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience29
Completeness85
Years active:12State licenses:0Other namesUpdated within 12 months

5,062 PHYSICIAN ASSISTANT in OH

Provider Addresses for KELSIE R. SHEHORN (PA-C)

  • 2142 N COVE BLVD

    TOLEDO, OH 436063895

    Phone: (419) 291-3627

    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.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-04-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (929 days ago).

Enrollment records

1

Earliest due date

2023-11-30

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
I20140410000829IPhysician AssistantOH2023-11-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 minutes8787$0
99214Established patient office or other outpatient visit, 30-39 minutes3434$0
87428Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza2323$0
81002Urinalysis, manual test1616$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1313$0
View full utilization report →

Insurance plans in this area (ZIP 43606)

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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: 8022018704View full group profile
NameSpecialtyState
Physician AssistantOH
H E M A T O L O G Y/ O N C O L O G YOH
Family PracticeOH
Nurse PractitionerOH
Nurse PractitionerOH
-OH
Cardiovascular Disease (Cardiology)OH
Physician AssistantOH
-OH
Family PracticeOH

Reviews

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Frequently asked questions

Can I verify KELSIE R. SHEHORN (PA-C) with an NPI only?
You can start verification with NPI 1043635287 for KELSIE R. SHEHORN (PA-C), then check state licensing separately.
Is KELSIE R. SHEHORN (PA-C) listed as active for patients and plans?
The listing shows KELSIE R. SHEHORN (PA-C) as active in the NPI system.
What healthcare role does KELSIE R. SHEHORN (PA-C) hold?
Scheduling teams often label KELSIE R. SHEHORN (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Where is KELSIE R. SHEHORN (PA-C) based?
KELSIE R. SHEHORN (PA-C) is tied to Toledo, Ohio in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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