DR. SHANE ANNA KELLEY PHD
NPI 1053694372
Psychologist in Reno, NV
About Dr. Shane Anna Kelley Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SHANE ANNA KELLEY PHD (NPI 1053694372) is an individual psychologist in Reno, Nevada and active in the NPI registry since September 2011. She has opted out of Medicare through November 23, 2027.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Shane Anna Kelley Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 23, 2025 through November 23, 2027.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RENO, NV 89511
RENO, NV 89511
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Shane Kelley's NPI number?
The NPI number for Shane Kelley is 1053694372. It was assigned to this individual provider in the NPPES registry on September 22, 2011.
Where is Shane Kelley located?
Shane Kelley practices at 5421 Kietzke Ln Suite 101, Reno, NV 89511. The listed phone number is (775) 853-3797.
What is Shane Kelley's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Shane Kelley enrolled in Medicare?
No. Shane Kelley has opted out of Medicare through November 23, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Shane Kelley was last updated on April 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.