DR. KELLE RAE SHUTTER M.D.
NPI 1235463092
Pediatrics in Brattleboro, VT
About Dr. Kelle Rae Shutter M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KELLE RAE SHUTTER M.D. (NPI 1235463092) is an individual pediatrics provider in Brattleboro, Vermont, licensed in Vermont (042.0015262) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Brattleboro.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kelle Rae Shutter M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
4Medicare enrollment records show Kelle Shutter reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brattleboro, VT 05301
- Reassigned Medicare billing, Vermont enrollment
- 101 clinicians in this Medicare group
Williston, VT 05495
- Reassigned Medicare billing, Vermont enrollment
- 53 clinicians in this Medicare group
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: Seattle Childrens Hospital
- 912 clinicians in this Medicare group
Seattle, WA 98122
- Reassigned Medicare billing, Washington enrollment
- 911 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 05301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
BRATTLEBORO, VT 05301
BRATTLEBORO, VT 05301
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 Kelle Shutter's NPI number?
The NPI number for Kelle Shutter is 1235463092. It was assigned to this individual provider in the NPPES registry on September 28, 2009. The provider is also known as Dr. Kelle Rae Herning M.D..
Where is Kelle Shutter located?
Kelle Shutter practices at 21 Belmont Ave, Brattleboro, VT 05301. The listed phone number is (802) 258-3905.
What is Kelle Shutter's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kelle Shutter enrolled in Medicare?
Yes. Kelle Shutter is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelle Shutter's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelle Shutter reassigns Medicare benefits to 4 organizations: Brattleboro Memorial Hospital (Brattleboro, VT), Primary Care Health Partners - Vermont LLP (Williston, VT), Seattle Children's Hospital (Seattle, WA) and The Polyclinic PLLC (Seattle, WA). Each 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 Kelle Shutter's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelle Shutter accept?
Health plans from Ambetter from NH Healthy Families and Anthem Blue Cross and Blue Shield list Kelle Shutter 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 Kelle Shutter was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Kelle Rae Shutter, M.D. · NPI 1235463092
Pediatrics physician in Brattleboro, Vermont. Individual provider, active in the CMS NPPES registry since September 28, 2009.
## Identity
- **NPI:** 1235463092 (Entity type: Individual)
- **Enumerated:** September 28, 2009
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** 042.0015262 (Vermont)
- **Sole proprietor:** No
## Practice location
- **Address:** 21 BELMONT AVE, Brattleboro, VT 05301-7110
- **Phone:** (802) 258-3905 · **Fax:** (802) 258-4903
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Brattleboro Memorial Hospital (NPI 1306849708, Brattleboro, VT); Primary Care Health Partners - Vermont LLP (NPI 1285687616, Williston, VT); Seattle Children's Hospital (NPI 1003319500, Seattle, WA); The Polyclinic PLLC (NPI 1174594634, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2023
- **Other identifiers:** Medicaid 6706620 (VT); Medicaid 3127306 (NH)
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Source: [NPI Profile](https://npiprofile.com/npi/1235463092) · Data from the CMS NPPES public registry.