KELLY DEAN SHRUM DO
NPI 1427028638
Obstetrics & Gynecology in Monticello, AR
About Kelly Dean Shrum Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY DEAN SHRUM DO (NPI 1427028638) is an individual obstetrics & gynecology provider in Monticello, Arkansas, licensed in Arkansas (E0704) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Oklahoma State University College Of Osteopathic Medicine (1994).
NPPES Registry Identity
Specialties & Licenses
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 and accepts Medicare assignment
Kelly Dean Shrum Do 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 Shrum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Monticello, AR 71655
- Reassigned Medicare billing, Arkansas enrollment
- 63 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 71655 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTICELLO, AR 71655
MONTICELLO, AR 71655
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 Shrum's NPI number?
The NPI number for Kelly Shrum is 1427028638. It was assigned to this individual provider in the NPPES registry on January 23, 2006.
Where is Kelly Shrum located?
Kelly Shrum practices at 535 Jordan Dr, Monticello, AR 71655. The listed phone number is (870) 367-6246.
What is Kelly Shrum's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Kelly Shrum enrolled in Medicare?
Yes. Kelly Shrum 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 Shrum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Shrum reassigns Medicare benefits to Mainline Health Systems, Inc (Monticello, AR). 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 Shrum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kelly Shrum accept?
Health plans from Health Advantage and Octave list Kelly Shrum 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 Kelly Shrum was last updated on March 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kelly Dean Shrum, DO · NPI 1427028638
Obstetrics & Gynecology physician in Monticello, Arkansas. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1427028638 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** E0704 (Arkansas)
- **Sole proprietor:** No
## Practice location
- **Address:** 535 JORDAN DR, Monticello, AR 71655-5714
- **Phone:** (870) 367-6246
## 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:** Mainline Health Systems, Inc (NPI 1669401501, Monticello, AR), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Oklahoma State University College Of Osteopathic Medicine, class of 1994
## Record status
- **NPPES last updated:** March 26, 2026
- **Other identifiers:** Other 18424000000 (AR); Medicaid 136791003 (AR)
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Source: [NPI Profile](https://npiprofile.com/npi/1427028638) · Data from the CMS NPPES public registry.