SHAWNEE LYNN KELLISON RNBCFNP NPI 1063495463

NPI Information

  • NPI: 1063495463
  • Provider Name: SHAWNEE LYNN KELLISON, RNBCFNP
  • Classification: Registered Nurse - 163WG0000X
  • Specialization: General Practice
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 700 W JEFFERSON ST
    KIRKSVILLE, MO
    ZIP 63501
  • Phone: (660) 626-2191

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NPI Details

Shawnee Lynn Kellison, RNBCFNP is a general practice registered nurse in Kirksville, MO. Shawnee Lynn Kellison, RNBCFNP NPI is 1063495463. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 W JEFFERSON ST
KIRKSVILLE, MO
ZIP 63501-441
Phone: (660) 626-2191
Fax: (660) 626-2396

The NPI 1063495463 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/21/2005 and was last updated on 1/21/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WG0000XRegistered NurseGeneral Practice113721MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1P00435145OTHERMISSOURIRAILROAD MEDICARE PTAN
2DG4290OTHERMISSOURIRAILROAD MEDICARE GROUP #
3S29474MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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