SHAWNEE LYNN KELLISON RNBCFNP
NPI 1063495463
Nurse Practitioner - Family in Kirksville, MO

NPI Status: Active since November 21, 2005

Contact Information

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

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  • Individual
  • Female
  • Nurse Practitioner
  • Family

About SHAWNEE KELLISON

This page provides the complete NPI Profile along with additional information for Shawnee Kellison, a provider established in Kirksville, Missouri with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1063495463 assigned on November 2005. The practitioner's primary taxonomy code is 363LF0000X with license number 113721 (MO). The provider is registered as an individual and her NPI record was last updated February 2026.

NPI
1063495463
Provider Name
SHAWNEE LYNN KELLISON RNBCFNP
Gender
Female
Entity Type
Individual
Location Address
700 W JEFFERSON ST KIRKSVILLE, MO 63501
Location Phone
(660) 626-2191
Location Fax
(660) 626-2396
Mailing Address
700 W JEFFERSON ST PO BOX 7545 KIRKSVILLE, MO 63501
Mailing Phone
(660) 626-2191
Mailing Fax
(660) 626-2396
Is Sole Proprietor?
No
Enumeration Date
11-21-2005
Last Update Date
02-02-2026
Code Navigator

A nurse practitioner (NP) like Shawnee Kellison is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
113721
License State
MO

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1163WG0000XNursing Service Providers

Registered Nurse
General Practice

113721 (MO)
2363LF0000XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Family

A153236 (IA)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
501218200OTHER (01)MOMEDICAID GROUP #
428713812MEDICAID (05)MO 
DG4290OTHER (01)MORAILROAD MEDICARE GROUP #
000014853OTHER (01)MEDICARE GROUP #
P00435145OTHER (01)MORAILROAD MEDICARE PTAN

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1063495463, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
3
Unchanged
Pos 5
4
Doubled → 8
Pos 6
9
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
4
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 4 → 8 5 → 10 → 1 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 1 + 2 + 3 + 8 + 9 + 1 + 0 + 4 + 1 + 2 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1063495463.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Audiologist
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Audiologist
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Pharmacy (Compounding Pharmacy)
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Dermatology
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Hearing Instrument Specialist
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Hearing Instrument Specialist
700 W JEFFERSON ST
KIRKSVILLE, MO 63501
Student in an Organized Health Care Education/Training Program
700 W JEFFERSON ST
KIRKSVILLE, MO 63501

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1063495463, enumerated as an "individual" on November 21, 2005.

The provider is located at 700 W JEFFERSON ST KIRKSVILLE, MO 63501 and the phone number is (660) 626-2191.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare, Medicaid and Railroad Medicare. Please consult your insurance carrier or call the provider to verify.