Shane Thomas Kelly
Certified Registered Nurse Anesthetist · Royal Oak, MI
Shane Thomas Kelly is a certified registered nurse anesthetist with a practice address in Royal Oak, Michigan, and NPI 1215629753, issued on May 23, 2023. Check the license (Michigan 4704329144, as entered in NPPES) with the Michigan board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Shane Thomas Kelly
- Primary taxonomy
- Certified Registered Nurse Anesthetist 367500000X
- License number
- 4704329144 MI
Self-reported in NPPES; status is on the state search - Practice location
- 3601 W 13 Mile RD, Royal Oak, MI 48073
- Phone
- (248) 898-5000
- Enumerated
- May 23, 2023
- Record last updated
- Apr 23, 2026
- Medicare enrollment
- Enrolled (PECOS I20230901001499); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest certified registered nurse anesthetist records → All 3,298 in Michigan → Look up another NPI →
Also registered at 3601 W 13 Mile RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Farah Aboufakhr, MDAnesthesiology Physician1093409260
- Mohamad Aboumourad, DOInternal Medicine Physician1669225637
Verify Shane Thomas Kelly in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Michigan board licenses this profession
Search for license 4704329144Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $66.67
3 payments; by number, the most common kind was food and beverage; the largest payer was Merck Sharp & Dohme LLC. The 24,076 providers of this specialty with any payment received $135.08 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Saint Mary's Health ServicesGrand Rapids, MI
- Spectrum Health Primary Care PartnersGrand Rapids, MI
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Shane Thomas Kelly among 3,298 certified registered nurse anesthetist records in Michigan
Shane Thomas Kelly is one of 3,298 certified registered nurse anesthetist records with a practice address in Michigan. 78% 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 94% of them.
- NPI issued2023 · 94% of these records are older, 3% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated2023 · median 2012 among the 2,454 with a school on file
- Record last updated2026 · 61% 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 Michigan practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
222 certified registered nurse anesthetist records list a practice address in Royal Oak
They are 222 of the 3,887 NPPES records with a practice address in Royal Oak, and 3,298 certified registered nurse anesthetist records in Michigan.
All 3,298 in Michigan → Every provider in Royal Oak → Certified Registered Nurse Anesthetist nationwide →
The 8 certified registered nurse anesthetist records with the nearest ZIP codes
- Florence Acosta, CRNARoyal Oak, MI 480731124094271
- Cheryl Baxa, CRNARoyal Oak, MI 480731780650770
- Nancy Berner, CRNARoyal Oak, MI 480731033185038
- Mary Boeson, CRNARoyal Oak, MI 480731265408272
- Eva Bowden, CRNARoyal Oak, MI 480731730155680
- Maureen Charmley, CRNARoyal Oak, MI 480731891761722
- Orest Chornij, CRNARoyal Oak, MI 480731710954656
- Lisa Chornij, CRNARoyal Oak, MI 480731881660710
Common questions
What is Shane Thomas Kelly's NPI number?
Shane Thomas Kelly's National Provider Identifier (NPI) is 1215629753, issued on May 23, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Shane Thomas Kelly located?
The NPPES record lists a practice address at 3601 W 13 Mile RD, Royal Oak, MI, 48073. Phone: (248) 898-5000. Providers update this record themselves, so call before visiting.
How can I verify Shane Thomas Kelly's license?
NPPES lists Michigan license number 4704329144, as entered by the provider. Search the Michigan 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.