KELLY SHAFTEL
NPI 1306587290
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Kelly Shaftel NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SHAFTEL (NPI 1306587290) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kelly Shaftel is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Kelly Shaftel's NPI number?
The NPI number for Kelly Shaftel is 1306587290. It was assigned to this individual provider in the NPPES registry on April 5, 2022.
Where is Kelly Shaftel located?
Kelly Shaftel practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-1601.
What is Kelly Shaftel's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kelly Shaftel enrolled in Medicare?
Yes. Kelly Shaftel is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kelly Shaftel was last updated on April 5, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Kelly Shaftel · NPI 1306587290
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since April 5, 2022.
## Identity
- **NPI:** 1306587290 (Entity type: Individual)
- **Enumerated:** April 5, 2022
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-1601
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** April 5, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1306587290) · Data from the CMS NPPES public registry.