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DR. ANN C. SHACKELFORD DDS
NPI 1942429022
Dentist - General Practice in Newport, KY

Active since April 25, 2007PECOS Enrolled
215 E 11TH ST, NEWPORT, KY 41071(859) 655-6100(859) 655-6186 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 16, 2023, Mar 17, 2016 (2 updates tracked since 2016).

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 is enrolled in Medicare PECOS and maintains a secondary practice location in Florence.

NPPES Registry Identity

NPI1942429022
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ANN C. SHACKELFORDCredential: DDS
Location Address215 E 11TH STNewport, KY 41071-2203
Mailing Address215 E 11th StNewport, KY 41071-2203 · (859) 655-6100
Phone(859) 655-6100
Fax(859) 655-6186
Sole ProprietorYes
Enumeration DateApril 25, 2007
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1942429022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in KY · 9730✔ Licensed in OH · 30.024594✔ Licensed in IN · 12010096
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

215 E 11TH ST, Newport, KY 41071
Open in Google Maps ↗

Secondary Practice Location 1

Location 17710 Walnut Creek DrFlorence, KY 41042-2528 · Phone (765) 620-1967

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ann C. Shackelford Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DE ANDRE EVANS
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
DR. JINHUI LI DDS, PHD
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
COLLEEN CONNAUGHTON APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
SAIRA TARIQ MD
Pediatrics
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
DAVID LOWE MD
Family Medicine
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
ANNA RIDDER APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
SARAH JESSICA UEBEL APRN
Nurse Practitioner (Family)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100
FRANCESCA FLORENDO DMD
Dentist (General Practice)
215 E 11TH ST
NEWPORT, KY 41071
Campbell County (859) 655-6100

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?

Yes. Ann Shackelford is registered in the Medicare PECOS enrollment system.

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 with the weekly NPPES data releases published by CMS.