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DR. KELLI J SHIDLER M.D.
NPI 1285794040
Pediatrics in Omaha, NE

Active since December 11, 2006PECOS Enrolled
17675 WELCH PLZ, OMAHA, NE 68135(402) 354-7630(402) 354-7635 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Kelli J Shidler M.d. NPPES

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

DR. KELLI J SHIDLER M.D. (NPI 1285794040) is an individual pediatrics provider in Omaha, Nebraska, licensed in Nebraska (23204) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285794040
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLI J SHIDLERCredential: M.D.
Location Address17675 WELCH PLZOmaha, NE 68135-3551
Mailing AddressPo Box 3755Omaha, NE 68103-0755 · (402) 354-2100 · Fax (402) 354-2155
Phone(402) 354-7630
Fax(402) 354-7635
Sole ProprietorNo
Enumeration DateDecember 11, 2006
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1285794040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NE · 23204
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
17675 WELCH PLZ, Omaha, NE 68135
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Other Names 1

Former Name (1)Dr. Kelli J Pauling M.d.

Other Identifiers 2

Other251093NE · Midlands Choice
Other01516NE · Bcbs Of Nebraska

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare 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)

Dr. Kelli J Shidler M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Kelli Shidler reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Clinic Inc
7.4 mi
Family Medicine
10060 REGENCY CIR
Omaha, NE 68114
  • Reassigned Medicare billing, Nebraska enrollment
  • 544 clinicians in this Medicare group
NPI 1821049156 (402) 354-1500
Father Flanagan's Boys' Home
13 mi
Pediatrics
555 N 30TH ST
Omaha, NE 68131
  • Reassigned Medicare billing, Nebraska enrollment
  • Medicare enrollment name: Father Flanagans Boys Home
  • 305 clinicians in this Medicare group
NPI 1295821825 (402) 498-6509

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 68135 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
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 15

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

DR. CHRISTINE MARIE CARLSON RAHN M.D.
Family Medicine
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
DR. KATIE MARIE SAGRERO DO
Family Medicine
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
DR. KAREN K MEYER M.D.
Pediatrics
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
ASHLEY LYN LEGRAND-ROZOVICS
Family Medicine
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
DR. STEPHANIE K. NEUHAUS M.D.
Pediatrics
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
DR. LISA L WHITCOMB M.D.
Pediatrics
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-1925
DR. STEPHEN W.B.S. TETRAULT D.O.
Family Medicine
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600
KEELEY NOEL SCHROEDER MSN, APRN, CPNP-PC
Nurse Practitioner
17675 WELCH PLZ
OMAHA, NE 68135
Douglas County (402) 354-7600

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 Kelli Shidler's NPI number?

The NPI number for Kelli Shidler is 1285794040. It was assigned to this individual provider in the NPPES registry on December 11, 2006. The provider is also known as Dr. Kelli J Pauling M.D..

Where is Kelli Shidler located?

Kelli Shidler practices at 17675 Welch Plz, Omaha, NE 68135. The listed phone number is (402) 354-7630.

What is Kelli Shidler's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelli Shidler enrolled in Medicare?

Yes. Kelli Shidler is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelli Shidler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelli Shidler reassigns Medicare benefits to 2 organizations: Physicians Clinic Inc (Omaha, NE) and Father Flanagan's Boys' Home (Omaha, NE). 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 Kelli Shidler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kelli Shidler accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Kelli Shidler 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 Kelli Shidler was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.