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SHELLEY KELLER CLARK AG-ACNP
NPI 1376077636
Nurse Practitioner - Acute Care in Panama City, FL

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
2232 W 24TH ST, PANAMA CITY, FL 32405(850) 215-3024 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 27, 2025, Aug 24, 2021, Jul 1, 2020 and 1 more (4 updates tracked since 2017).

About Shelley Keller Clark Ag-acnp NPPES

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

SHELLEY KELLER CLARK AG-ACNP (NPI 1376077636) is an individual acute care provider in Panama City, Florida, licensed in Florida (ARNP9288435) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1376077636
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSHELLEY KELLER CLARKCredential: AG-ACNP
Location Address2232 W 24TH STPanama City, FL 32405-2226
Mailing Address708 Breakfast Point BlvdPanama City Beach, FL 32407-2534 · (850) 294-1282
Phone(850) 215-3024
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2017
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1376077636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in FL · ARNP9288435
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License ARNP9288435 (FL)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License ARNP9288435 (FL)
2232 W 24TH ST, Panama City, FL 32405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Shelley Keller Clark Ag-acnp 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 ID6103186358
PECOS Enrollment IDI20180207002174
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,241 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
302 services243 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
263 services192 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
86 services19 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
73 services58 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
57 services30 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32405 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers13 claims13 services$15.00 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers20 claims20 services$80.07 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

JENSEN CLIFFORD
Physician Assistant
2232 W 24TH ST
PANAMA CITY, FL 32405
Bay County (850) 215-3062
MR. AMIR B AGHA MD
Internal Medicine (Rheumatology)
2232 W 24TH ST
PANAMA CITY, FL 32405
Bay County (850) 215-3062

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 Shelley Keller Clark's NPI number?

The NPI number for Shelley Keller Clark is 1376077636. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Shelley Keller Clark located?

Shelley Keller Clark practices at 2232 W 24th St, Panama City, FL 32405. The listed phone number is (850) 215-3024.

What is Shelley Keller Clark's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Shelley Keller Clark enrolled in Medicare?

Yes. Shelley Keller Clark is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shelley Keller Clark accept?

Health plans from Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Shelley Keller Clark 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.

Is Shelley Keller Clark affiliated with any hospitals?

According to CMS data, Shelley Keller Clark is affiliated with Ascension Sacred Heart Bay, Hca Florida Gulf Coast Hospital and Ascension Sacred Heart Gulf.

When was this NPI record last updated?

The NPPES record for Shelley Keller Clark was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.