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MS. SHAWDARE MIRIAM KELLY FNP
NPI 1902310618
Nurse Practitioner - Family in Dresden, OH

Active since November 17, 2017PECOS EnrolledAccepts Medicare Assignment
914 HIGH ST, DRESDEN, OH 43821(740) 624-8563 Get Directions Write a Review

NPPES record last updated: November 17, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Shawdare Miriam Kelly Fnp NPPES

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

MS. SHAWDARE MIRIAM KELLY FNP (NPI 1902310618) is an individual family provider in Dresden, Ohio, licensed in Ohio (021982) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902310618
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SHAWDARE MIRIAM KELLYCredential: FNP
Location Address914 HIGH STDresden, OH 43821-9782
Mailing Address914 High StDresden, OH 43821-9782 · (740) 624-8563
Phone(740) 624-8563
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateNovember 17, 2017
✔ NPI 1902310618 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 OH · 021982
914 HIGH ST, Dresden, OH 43821
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Ms. Shawdare Miriam Kelly Fnp 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 ID2567721665
PECOS Enrollment IDI20180118000647
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 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.

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.
54 services49 patients
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.
51 services50 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43821 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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 Shawdare Kelly's NPI number?

The NPI number for Shawdare Kelly is 1902310618. It was assigned to this individual provider in the NPPES registry on November 17, 2017.

Where is Shawdare Kelly located?

Shawdare Kelly practices at 914 High St, Dresden, OH 43821. The listed phone number is (740) 624-8563.

What is Shawdare Kelly's specialty?

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

Is Shawdare Kelly enrolled in Medicare?

Yes. Shawdare Kelly 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 Shawdare Kelly accept?

Health plans from CareSource list Shawdare Kelly 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 Shawdare Kelly was last updated on November 17, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.