Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KELSEY DANIELLE SHAFFSTALL DNP, APRN, PMHNP-BC
NPI 1093587909
Nurse Practitioner - Psychiatric/Mental Health in Allen, TX

Q: What is Kelsey Shaffstall's NPI number?

The NPI number for Kelsey Shaffstall is 1093587909. It was assigned to this individual provider in the NPPES registry on October 24, 2023.

Q: What is Kelsey Shaffstall's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Shaffstall was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since October 24, 2023PECOS Enrolled

1772 W MCDERMOTT DR, ALLEN, TX 75013(469) 340-2777 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Oct 24, 2023 (2 updates tracked since 2023).

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About Kelsey Danielle Shaffstall Dnp, Aprn, Pmhnp-bc NPPES

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

KELSEY DANIELLE SHAFFSTALL DNP, APRN, PMHNP-BC (NPI 1093587909) is an individual psychiatric/mental health provider in Allen, Texas, licensed in Texas (1139191) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Allen, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1093587909

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameKELSEY DANIELLE SHAFFSTALLCredential: DNP, APRN, PMHNP-BC

Location Address1772 W MCDERMOTT DRAllen, TX 75013-3342

Mailing Address1772 W Mcdermott DrAllen, TX 75013-3342 · (469) 340-2777

Phone(469) 340-2777

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 24, 2023

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1093587909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in TX · 1139191

1772 W MCDERMOTT DR, Allen, TX 75013

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Secondary Practice Location 1

Location 11774 W McDermott Dr Ste 150Allen, TX 75013-3424 · Phone (469) 340-2777

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelsey Danielle Shaffstall Dnp, Aprn, Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597280990

PECOS Enrollment IDI20250417003387

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75013 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. RICCI RENEE CRINER LPC

Counselor (Addiction (Substance Use Disorder))