Kelly Ray Shantz, CRNA
Certified Registered Nurse Anesthetist · Fairmont, MN
Kelly Ray Shantz, CRNA is a certified registered nurse anesthetist with a practice address in Fairmont, Minnesota, and NPI 1477540995, issued on Sep 29, 2005. Check the license (Minnesota 868, as entered in NPPES) with the Minnesota board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Kelly Ray Shantz
- Credential
- CRNA
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License numbers
- 868 MN
R 162289-8 MN
Self-reported in NPPES; status is on the state search - Practice location
- 800 Medical Center Dr, Fairmont, MN 56031
- Phone
- (507) 238-8555
- Enumerated
- Sep 29, 2005
- Record last updated
- Sep 17, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20041206000084); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 2,663 in Minnesota → Look up another NPI →
Also registered at 800 Medical Center Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
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Verify Kelly Ray Shantz in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Minnesota board licenses this profession
Search for license 868Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through 2 group practices
- Mayo Clinic Health System-Southeast Minnesota RegionAustin, MN
- Mayo Clinic Health System-Southwest Minnesota RegionMankato, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Kelly Ray Shantz among 2,663 certified registered nurse anesthetist records in Minnesota
Kelly Ray Shantz, CRNA is one of 2,663 certified registered nurse anesthetist records with a practice address in Minnesota. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2005, is newer than 0% of them.
- NPI issued2005 · 0% of these records are older, 95% newer
- In a Medicare fileYes · 73% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2001 · median 2013 among the 1,930 with a school on file
- Record last updated2020 · 62% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 367500000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 certified registered nurse anesthetist records list a practice address in Fairmont
They are 8 of the 212 NPPES records with a practice address in Fairmont, and 2,663 certified registered nurse anesthetist records in Minnesota.
All 2,663 in Minnesota → Every provider in Fairmont → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Craig Bergh, CRNAFairmont, MN 560311780649715
- Steven Jerred, CRNAFairmont, MN 560311811976335
- Matthew Jewett, CRNAFairmont, MN 560311174866446
- Brian Kawecki, CRNAFairmont, MN 560311497088967
- Joseph Klick, CRNAFairmont, MN 560311073516266
- David Krusemark, CRNAFairmont, MN 560311003891615
- Shawn Overgaard, CRNAFairmont, MN 560311972735033
- Shylah CassidyElysian, MN 560281104772888
Common questions
What is Kelly Ray Shantz, CRNA's NPI number?
Kelly Ray Shantz, CRNA's National Provider Identifier (NPI) is 1477540995, issued on Sep 29, 2005. An NPI identifies a provider in billing; it is not a license.
Where is Kelly Ray Shantz, CRNA located?
The NPPES record lists a practice address at 800 Medical Center Dr, Fairmont, MN, 56031. Phone: (507) 238-8555. Providers update this record themselves, so call before visiting.
How can I verify Kelly Ray Shantz, CRNA's license?
NPPES lists Minnesota license number 868, as entered by the provider. Search the Minnesota board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.