KELLY DU SHUTTLE ARNP
NPI 1760875090
Nurse Practitioner - Family in St Petersburg, FL

Q: What is Kelly Du Shuttle's NPI number?

The NPI number for Kelly Du Shuttle is 1760875090. It was assigned to this individual provider in the NPPES registry on March 11, 2015.

Q: What is Kelly Du Shuttle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Du Shuttle was last updated on June 22, 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.

Active since March 11, 2015PECOS EnrolledAccepts Medicare Assignment

89.55/100

CMS Quality Rating

701 6TH ST S, ST PETERSBURG, FL 33701(727) 553-7300(727) 553-7395 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kelly Du Shuttle Arnp NPPES

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

KELLY DU SHUTTLE ARNP (NPI 1760875090) is an individual family provider in St Petersburg, Florida, licensed in Florida (APRN9318941) and active in the NPI registry since March 2015. She is enrolled in Medicare PECOS, is affiliated with Lake Butler Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1760875090

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKELLY DU SHUTTLECredential: ARNP

Location Address701 6TH ST SSt Petersburg, FL 33701-4814

Mailing AddressPo Box 12129Daytona Beach, FL 32120-2129 · (386) 274-7800 · Fax (386) 274-7801

Phone(727) 553-7300

Fax(727) 553-7395

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 11, 2015

Last NPPES UpdateJune 22, 2023

NPPES CertifiedJune 22, 2023

✔ NPI 1760875090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in FL · APRN9318941

701 6TH ST S, St Petersburg, FL 33701

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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

Kelly Du Shuttle Arnp 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 ID1254659451

PECOS Enrollment IDI20150420002169

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 4

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

22 services22 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

15 services14 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

15 services14 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lake Butler Hospital

Critical Access Hospitals · Lake Butler, FL

OwnershipProprietary

CMS Certification Number101303

Location850 E Main StLake Butler, FL 32054 · Union County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33701 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.

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.

89.55/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

70.45

Improvement Activities

Cost

100

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.

EMERGENCY MEDICAL ASSOCIATES OF FL, LLC

Emergency Medicine