DR. ANN C. SHACKELFORD DDS
NPI 1942429022
Dentist - General Practice in Newport, KY
About Dr. Ann C. Shackelford Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANN C. SHACKELFORD DDS (NPI 1942429022) is an individual general practice provider in Newport, Kentucky, licensed in Kentucky (9730) and active in the NPI registry since April 2007. She has opted out of Medicare through May 22, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Ann C. Shackelford Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 22, 2018 through May 22, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 41071 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Ann Shackelford's NPI number?
The NPI number for Ann Shackelford is 1942429022. It was assigned to this individual provider in the NPPES registry on April 25, 2007.
Where is Ann Shackelford located?
Ann Shackelford practices at 215 E 11th St, Newport, KY 41071. The listed phone number is (859) 655-6100.
What is Ann Shackelford's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Ann Shackelford enrolled in Medicare?
No. Ann Shackelford has opted out of Medicare through May 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Ann Shackelford accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield and 12 other insurers list Ann Shackelford 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 Ann Shackelford was last updated on August 16, 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.
# Dr. Ann C. Shackelford, DDS · NPI 1942429022
General Practice provider in Newport, Kentucky. Individual provider, active in the CMS NPPES registry since April 25, 2007.
## Identity
- **NPI:** 1942429022 (Entity type: Individual)
- **Enumerated:** April 25, 2007
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 9730 (Kentucky)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 215 E 11TH ST, Newport, KY 41071-2203
- **Phone:** (859) 655-6100 · **Fax:** (859) 655-6186
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 22, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 16, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942429022) · Data from the CMS NPPES public registry.