KELLI M SHANKSTER (AGPCNP-BC) – Nurse Practitioner, NPI 1750798807

KELLI M SHANKSTER (AGPCNP-BC) is a healthcare provider. based in Gahanna, Ohio. specializing in NURSE PRACTITIONER. They hold the professional credentials AGPCNP-BC. They hold a License No. APRN.CNP.16218 (OH). The NPI Number for KELLI M SHANKSTER (AGPCNP-BC) is 1750798807

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
KELLI M SHANKSTER (AGPCNP-BC)
NPI
1750798807
Phone
(614) 545-7900
Address
605 CRESCENT PL
Enumeration Date
21 July 2014
Last Update Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6148278700
Graduation Year
2014 (12 years ago)
PAC ID
9830411149
Group Practice PAC ID
3072598283
Professional Enrollment ID
I20141122000090
Address ID
OH432202247UP4604XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:11State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for KELLI M SHANKSTER (AGPCNP-BC)

  • 605 CRESCENT PL

    GAHANNA, OH 432303086

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Location

  • 1039 AFTON RD

    COLUMBUS, OH 432211603

    Phone: (419) 212-1437

    Type: Mailing

  • 170 TAYLOR STATION RD

    COLUMBUS, OH 432134491

    Phone: (614) 545-7900

    Type: Location

  • 3777 Trueman Ct

    Hilliard, OH 430262496

    Phone: (614) 488-1816

    Type: Location

  • 800 E Broad St

    Columbus, OH 432051015

    Phone: (614) 252-8300

    Fax: (614) 252-6637

    Type: Location

  • 974 N 21st St

    Newark, OH 430552990

    Phone: (513) 834-7063

    Type: Location

  • 340 POLARIS PKWY

    WESTERVILLE, OH 430827971

    Phone: (614) 545-7900

    Fax: (614) 545-7901

    Type: Mailing

  • 615 ELSINORE PL STE 200

    CINCINNATI, OH 452021457

    Phone: (513) 834-7063

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $144.

Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.

Last reported payment date: 2023-10-18 • Largest payer in this snapshot: Amgen Inc. ($116).

Total Amount

$144

General + Research + Ownership

Payments

3

Total payment records

General Amount

$144

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-18

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: 2014-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-11-30 (921 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
I20141122000090INurse PractitionerOH2023-11-30

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 minutes162109$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg11237$0
73100X-ray of wrist, 2 views6432$0
99212Established patient office or other outpatient visit, 10-19 minutes6043$0
20550Injection into tendon or ligament3024$0
View full utilization report →

Insurance plans in this area (ZIP 43230)

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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: 3072598283View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Sports Medicine, Orthopedic SurgeryOH
Physical Therapist In Private PracticeOH
Physician AssistantOH
Physical Therapist In Private PracticeOH
Physician AssistantOH
-OH
-OH
-OH
Physical Therapist In Private PracticeOH

Reviews

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Frequently asked questions

How is KELLI M SHANKSTER (AGPCNP-BC) identified in CMS data?
CMS-hosted NPPES data lists KELLI M SHANKSTER (AGPCNP-BC) with NPI 1750798807.
Can I rely on KELLI M SHANKSTER (AGPCNP-BC) being an active provider?
As of the registry snapshot, KELLI M SHANKSTER (AGPCNP-BC) is marked active.
What taxonomy line describes KELLI M SHANKSTER (AGPCNP-BC)?
For research purposes, treat KELLI M SHANKSTER (AGPCNP-BC) as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for KELLI M SHANKSTER (AGPCNP-BC)?
KELLI M SHANKSTER (AGPCNP-BC)'s geographic hint is Gahanna, Ohio in our summary view.
Why does KELLI M SHANKSTER (AGPCNP-BC) have multiple addresses?
8 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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