1. Home
  2. Directory
  3. Michigan
  4. Holland
  5. Social Worker
  6. NPI Profile

KENEDY M SHELTON
NPI 1093329203
Social Worker in Holland, MI

Active since September 04, 2020PECOS Enrolled
412 CENTURY LN, HOLLAND, MI 49423(616) 396-2301 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 5, 2025, Sep 4, 2020 (2 updates tracked since 2020).

About Kenedy M Shelton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENEDY M SHELTON (NPI 1093329203) is an individual social worker in Holland, Michigan and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093329203
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameKENEDY M SHELTON
Location Address412 CENTURY LNHolland, MI 49423-4285
Mailing Address3333 Butternut DrHolland, MI 49424-5968 · (616) 337-4660
Phone(616) 396-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 4, 2020
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1093329203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
412 CENTURY LN, Holland, MI 49423
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11060 W Norton AveMuskegon, MI 49441-4175 · Phone (231) 777-2222
Location 2890 Washington Ave Ste 150Holland, MI 49423-7702 · Phone (616) 610-9276

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenedy M Shelton is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5193281301
PECOS Enrollment IDI20260728004841
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kenedy Shelton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Compass Institute For Leadership Development LLC
2.0 mi
Adult Mental Health
890 WASHINGTON AVE
Holland, MI 49423
  • Reassigned Medicare billing, Michigan enrollment
  • 2 clinicians in this Medicare group
NPI 1376213942 (515) 988-5189

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY FAITH JOHNSON
Social Worker
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
KEVIN FIGURSKI
Prevention Professional
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
MELISSA RENEE BURKE
Social Worker
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
LORI GAYLE WENGLIKOWSKI LMSW
Counselor (Mental Health)
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
JULIANO DONALD JEAN-JULES COACH
Counselor (School)
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
JAIMEE KAELYNNE ACKLEY
Social Worker
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
MELISSA PARRA
Social Worker
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301
ANDREW HARMON
Counselor
412 CENTURY LN
HOLLAND, MI 49423
Allegan County (616) 396-2301

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 Kenedy Shelton's NPI number?

The NPI number for Kenedy Shelton is 1093329203. It was assigned to this individual provider in the NPPES registry on September 4, 2020.

Where is Kenedy Shelton located?

Kenedy Shelton practices at 412 Century Ln, Holland, MI 49423. The listed phone number is (616) 396-2301.

What is Kenedy Shelton's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Kenedy Shelton enrolled in Medicare?

Yes. Kenedy Shelton is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenedy Shelton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenedy Shelton reassigns Medicare benefits to Compass Institute For Leadership Development LLC (Holland, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenedy Shelton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kenedy Shelton accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Kenedy Shelton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kenedy Shelton was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.