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

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: November 01, 2026.

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Kelly Du Shuttle reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Physicians Of St Petersburg PA
1.1 mi
Emergency Medicine
701 6TH ST S
St Petersburg, FL 33701
  • Reassigned Medicare billing, Florida enrollment
  • 56 clinicians in this Medicare group
NPI 1851726566 (727) 823-1234
Fl-I Medical Services LLC
4.9 mi
Emergency Medicine
6000 49TH ST N
St Petersburg, FL 33709
  • Reassigned Medicare billing, Florida enrollment
  • 210 clinicians in this Medicare group
NPI 1831508217 (727) 521-4411
Paragon Emergency Services LLC
59 mi
Emergency Medicine
200 AVENUE F NE
Winter Haven, FL 33881
  • Reassigned Medicare billing, Florida enrollment
  • 1,065 clinicians in this Medicare group
NPI 1912101650 (863) 293-1121
Shands/Solantic Joint Venture, LLC
130 mi
Urgent Care
720 SW 2ND AVE., 160A
Gainesville, FL 32601
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1558595223 (352) 240-8000
Hma/Solantic Joint Venture, LLC
135 mi
Urgent Care
1820 58TH AVE., UNIT 110
Vero Beach, FL 32966
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1689812109 (772) 257-3200
Medlink Management Services Inc
156 mi
Critical Access
850 E MAIN ST
Lake Butler, FL 32054
  • Reassigned Medicare billing, Florida enrollment
  • 37 clinicians in this Medicare group
NPI 1013972272 (386) 496-2323
Cep America LLC
168 mi
Emergency Medicine
1670 ST VINCENTS WAY
Middleburg, FL 32068
  • Reassigned Medicare billing, Florida enrollment
  • 367 clinicians in this Medicare group
NPI 1699462689 (904) 602-1000
Solantic Of Jacksonville, LLC
177 mi
Urgent Care
151 PINE LAKE DRIVE, SUITE B
Ponte Vedra, FL 32081
  • Reassigned Medicare billing, Florida enrollment
  • 189 clinicians in this Medicare group
NPI 1407893100 (904) 543-3677
Solantic/South Florida, LLC
181 mi
Urgent Care
1205 N UNIVERSITY DR
Coral Springs, FL 33071
  • Reassigned Medicare billing, Florida enrollment
  • 167 clinicians in this Medicare group
NPI 1851344378 (954) 780-8134

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 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
Quality70.45
Improvement Activities40
Cost100

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
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 825-1100
KATHERINE LISA KHOKHAR CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 828-3218
JACQUELINE Y BIANCE MD
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 823-1234
DAVID A. WEILAND JR. M.D.
Internal Medicine
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 823-1234
THOR WILLIAM VAN DIVER M.D.
Anesthesiology
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 823-2188
MICHAELLA SARAH-DUNBAR ARNHOLT RD,RDN
Dietitian, Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 823-1234
ALEXA BLAKE HARTNETT CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (321) 841-2335
ERIK SCOTT RAUCH CRNA
Nurse Anesthetist, Certified Registered
701 6TH ST S
ST PETERSBURG, FL 33701
Pinellas County (727) 823-2188

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 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.

Where is Kelly Du Shuttle located?

Kelly Du Shuttle practices at 701 6th St S, St Petersburg, FL 33701. The listed phone number is (727) 553-7300.

What is Kelly Du Shuttle's specialty?

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

Is Kelly Du Shuttle enrolled in Medicare?

Yes. Kelly Du Shuttle 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 organizations bill Medicare for Kelly Du Shuttle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelly Du Shuttle reassigns Medicare benefits to 9 organizations: Emergency Physicians Of St Petersburg PA (St Petersburg, FL), Fl-I Medical Services LLC (St Petersburg, FL), Paragon Emergency Services LLC (Winter Haven, FL), Shands/Solantic Joint Venture, LLC (Gainesville, FL), Hma/Solantic Joint Venture, LLC (Vero Beach, FL) and 4 more organizations, listed in the Medicare section above. Each 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 Du Shuttle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelly Du Shuttle affiliated with any hospitals?

According to CMS data, Kelly Du Shuttle is affiliated with Lake Butler Hospital.

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.