KENDRA PATRICIA SHACKELTON LMSW
NPI 1629355425
Social Worker - Clinical in Ann Arbor, MI
About Kendra Patricia Shackelton Lmsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENDRA PATRICIA SHACKELTON LMSW (NPI 1629355425) is an individual clinical provider in Ann Arbor, Michigan, licensed in Michigan (6801091837) and active in the NPI registry since November 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Royal Oak, and is a graduate of Other (2009).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted 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
Kendra Patricia Shackelton Lmsw 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48109 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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 Kendra Shackelton's NPI number?
The NPI number for Kendra Shackelton is 1629355425. It was assigned to this individual provider in the NPPES registry on November 8, 2011.
Where is Kendra Shackelton located?
Kendra Shackelton practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.
What is Kendra Shackelton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kendra Shackelton enrolled in Medicare?
Yes. Kendra Shackelton 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 Kendra Shackelton accept?
Health plans from Oscar Insurance Company, Priority Health and Providence Health Plan list Kendra Shackelton 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 Kendra Shackelton was last updated on May 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kendra Patricia Shackelton, LMSW · NPI 1629355425
Clinical provider in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since November 8, 2011.
## Identity
- **NPI:** 1629355425 (Entity type: Individual)
- **Enumerated:** November 8, 2011
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 6801091837 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109-5000
- **Phone:** (734) 936-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** May 2, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1629355425) · Data from the CMS NPPES public registry.