NPPES file of Aug 9, 2026

Kenneth Ryan Shackelford, DNP, APRN, FNP-BC

Family Nurse Practitioner · Festus, MO

Kenneth Ryan Shackelford, DNP, APRN, FNP-BC is a family nurse practitioner with a practice address in Festus, Missouri, and NPI 1811774417, issued on Sep 8, 2023. Check the license (Missouri 2023036843, as entered in NPPES) with the Missouri board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1811774417
Name
Kenneth Ryan Shackelford
Credential
DNP, APRN, FNP-BC
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
2023036843 MO
Self-reported in NPPES; status is on the state search
Practice location
1405 N Truman Blvd, Festus, MO 63028
Phone
(636) 933-2243
Enumerated
Sep 8, 2023
Record last updated
Sep 8, 2023
Medicare enrollment
Enrolled (PECOS I20231026000886); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1405 N Truman Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Mindy Wortmann, NPNurse Practitioner1962993584

Verify Kenneth Ryan Shackelford in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Missouri board licenses this profession
    Search for license 2023036843
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Missouri license search

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60% fewer Medicare Part D claims than the average family nurse practitioner in 2024

525 Medicare Part D claims for 184 beneficiaries, against an average of 1,305 among the 140,557 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims.

  1. Kenneth Shackelford525
  2. Specialty average1,305

Most prescribed

  1. Gabapentin136 claims
  2. Tizanidine Hcl96 claims
  3. Methylprednisolone45 claims
  4. Baclofen42 claims
  5. Celecoxib39 claims
  6. Duloxetine Hcl35 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Industry payments in 2024: $382.71

6 payments; by number, the most common kind was travel and lodging; the largest payer was Nevro Corp. The 99,489 providers of this specialty with any payment received $650.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kenneth Shackelford$382.71
  2. Specialty average$650.95

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Interventional Pain Institute, LLCFestus, MO

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth Ryan Shackelford among 5,226 family nurse practitioner records in Missouri

Kenneth Ryan Shackelford, DNP, APRN, FNP-BC is one of 5,226 family nurse practitioner records with a practice address in Missouri. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2023, is newer than 84% of them.

  • NPI issued2023 · 84% of these records are older, 12% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 64% of these records are
  • Graduated2023 · median 2018 among the 3,339 with a school on file
  • Record last updated2023 · 44% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Missouri practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

38 family nurse practitioner records list a practice address in Festus

They are 38 of the 706 NPPES records with a practice address in Festus, and 5,226 family nurse practitioner records in Missouri.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Kathryn Berns, NPFestus, MO 630281316943764
  2. Andrea BovaFestus, MO 630281740652296
  3. Katie Casey, NP-CFestus, MO 630281225452501
  4. Ashley Davis, FNP-CFestus, MO 630281558710699
  5. Pamela Dubois, APNFestus, MO 630281801866975
  6. Robin Goff, FNP-BCFestus, MO 630281639507957
  7. Kellie Hopkins, FNPFestus, MO 630281952709099
  8. Erica Jenks, F.N.P.Festus, MO 630281477799369

Common questions

What is Kenneth Ryan Shackelford, DNP, APRN, FNP-BC's NPI number?

Kenneth Ryan Shackelford, DNP, APRN, FNP-BC's National Provider Identifier (NPI) is 1811774417, issued on Sep 8, 2023. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth Ryan Shackelford, DNP, APRN, FNP-BC located?

The NPPES record lists a practice address at 1405 N Truman Blvd, Festus, MO, 63028. Phone: (636) 933-2243. Providers update this record themselves, so call before visiting.

How can I verify Kenneth Ryan Shackelford, DNP, APRN, FNP-BC's license?

NPPES lists Missouri license number 2023036843, as entered by the provider. Search the Missouri board that licenses this profession; the NPPES record confirms identity only.

How much does Kenneth Ryan Shackelford, DNP, APRN, FNP-BC prescribe under Medicare Part D?

In 2024, Kenneth Ryan Shackelford, DNP, APRN, FNP-BC had 525 Medicare Part D claims for 184 beneficiaries; the average among family nurse practitioner prescribers was 1,305. Part D covers Medicare prescriptions 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.