KELLY SHAFER NP
NPI 1417326786
Nurse Practitioner - Family in Shelby Township, MI
About Kelly Shafer Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY SHAFER NP (NPI 1417326786) is an individual family provider in Shelby Township, Michigan, licensed in Michigan (4704272276) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 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 and accepts Medicare assignment
Kelly Shafer Np 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.
Medicare Billing Reassignment
Medicare enrollment records show Kelly Shafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Beaumont Hospital Royal Oak
Acute Care Hospitals · Royal Oak, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48316 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 7
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 Shafer's NPI number?
The NPI number for Kelly Shafer is 1417326786. It was assigned to this individual provider in the NPPES registry on September 17, 2015.
Where is Kelly Shafer located?
Kelly Shafer practices at 2115 25 Mile Rd, Shelby Township, MI 48316. The listed phone number is (866) 389-2727.
What is Kelly Shafer's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelly Shafer enrolled in Medicare?
Yes. Kelly Shafer 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.
Which organization bills Medicare for Kelly Shafer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shafer reassigns Medicare benefits to Beaumont Medical Group- Specialty Services (Royal Oak, MI). The 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 Kelly Shafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Shafer accept?
Health plans from Priority Health list Kelly Shafer 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 Kelly Shafer affiliated with any hospitals?
According to CMS data, Kelly Shafer is affiliated with Beaumont Hospital Royal Oak.
When was this NPI record last updated?
The NPPES record for Kelly Shafer was last updated on May 18, 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 Shafer, NP · NPI 1417326786
Family physician in Shelby Township, Michigan. Individual provider, active in the CMS NPPES registry since September 17, 2015.
## Identity
- **NPI:** 1417326786 (Entity type: Individual)
- **Enumerated:** September 17, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704272276 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 2115 25 MILE RD, Shelby Township, MI 48316-1097
- **Phone:** (866) 389-2727
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** May 18, 2022
---
Source: [NPI Profile](https://npiprofile.com/npi/1417326786) · Data from the CMS NPPES public registry.