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DR. KELLEY SHIELDS CADDEL M.D.
NPI 1942464060
Pediatrics in Florissant, MO

Active since July 17, 2008PECOS Enrolled
11642 W FLORISSANT AVE, FLORISSANT, MO 63033(314) 838-8220 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelley Shields Caddel M.d. NPPES

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

DR. KELLEY SHIELDS CADDEL M.D. (NPI 1942464060) is an individual pediatrics provider in Florissant, Missouri, licensed in Missouri (2012003226) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942464060
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. KELLEY SHIELDS CADDELCredential: M.D.
Location Address11642 W FLORISSANT AVEFlorissant, MO 63033-6723
Mailing Address11642 W Florissant AveFlorissant, MO 63033-6723 · (314) 838-8220
Phone(314) 838-8220
Sole ProprietorYes
Enumeration DateJuly 17, 2008
Last NPPES UpdateFebruary 26, 2024
NPPES CertifiedFebruary 19, 2024
✔ NPI 1942464060 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in MO · 2012003226✔ Licensed in MO · 2008015402
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
11642 W FLORISSANT AVE, Florissant, MO 63033
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Other Identifiers 1

Other2012003226MO · State License

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. Kelley Shields Caddel M.d. 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 63033 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BETTY JEAN KERR PEOPLE'S HEALTH CENTER
Community/Behavioral Health
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
MISS MICHELE L NIEMCZYK DO
Pediatrics
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
LAURA ELIZABETH HOLT M.D.
Pediatrics
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
LORETTA LOVELACE
Registered Nurse
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 915-0094
PEOPLE'S HEALTH CENTERS, INC.
Clinic/Center (Dental)
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
ERIN PATRICE WILLIAMS DDS
Dentist (General Practice)
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
MRS. DELORES CALMESE FNP
Nurse Practitioner (Family)
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220
BETTY JEAN KERR PEOPLE'S HEALTH CENTERS
Clinic/Center (Federally Qualified Health Center (FQHC))
11642 W FLORISSANT AVE
FLORISSANT, MO 63033
St. Louis County (314) 838-8220

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 Kelley Caddel's NPI number?

The NPI number for Kelley Caddel is 1942464060. It was assigned to this individual provider in the NPPES registry on July 17, 2008.

Where is Kelley Caddel located?

Kelley Caddel practices at 11642 W Florissant Ave, Florissant, MO 63033. The listed phone number is (314) 838-8220.

What is Kelley Caddel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Kelley Caddel enrolled in Medicare?

Yes. Kelley Caddel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelley Caddel was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.