SHELBY A. KENNER MD NPI 1538170832

NPI Information

  • NPI: 1538170832
  • Provider Name: SHELBY A. KENNER, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5717 S ANTHONY BLVD
    SUITE 100
    FORT WAYNE, IN
    ZIP 46806
  • Phone: (260) 469-3984

Map and Directions

Get Directions

NPI Details

Shelby A. Kenner, MD is a family medicine in Fort Wayne, IN with 22 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Shelby A. Kenner, MD NPI is 1538170832. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

5717 S ANTHONY BLVD
SUITE 100
FORT WAYNE, IN
ZIP 46806-386
Phone: (260) 469-3984
Fax: (260) 441-3375

The NPI 1538170832 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Hemoglobin a1c level (HCPCS:83036)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Magnesium level (HCPCS:83735)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Transitional care management services for problem of moderate complexity (HCPCS:99495)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
  • Phosphate level (HCPCS:84100)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 8/15/2022.

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
1207Q00000XFamily Medicine01061016AINDIANAYes

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
1000000519082OTHERBLUE CROSS BLUE SHIELD
2200531880MEDICAIDINDIANA
3P00405718OTHERINDIANARAILROAD MEDICARE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.