Shawn Demian Kelly, APRN
NPI 1174831093ActiveIndividual· Nurse Practitioner, Family· Daytona Beach, FL
Nurse Practitioner, Family (APRN) in Daytona Beach, Florida, trained at Uniformed Services Uhs Fe Hebert School of Med (class of 2010). Their prescriptions cost Medicare Part D more than their services did: $922,528 for 1,717 claims, against $6,363 paid for services in 2024. Medtronic, Inc. reported $52.13 in payments in 2024, mostly food and beverage.
Overview
| NPI | 1174831093 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APRN |
| Sole proprietor | No |
| NPI issued | Sep 14, 2010 |
| Last updated in NPPES | Jan 26, 2024 |
| Certified by provider | Jan 26, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | APRN9431397 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (FL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 61 |
|---|---|
| Services billed | 77 across 4 procedure codes |
| Paid by Medicare | $6,363 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,717 · 4,008 30-day fills |
|---|---|
| Patients | 424 |
| Total drug cost | $922,528 |
| Generic share | 37% of claims |
Education and affiliations
| Medical school | Uniformed Services Uhs Fe Hebert School of Med |
|---|---|
| Graduation year | 2010 |
| Medicare specialty | Nurse Practitioner |
Medical group
- Lakeside Endocrine Associates IncDaytona Beach, FL · 4 clinicians
Hospital affiliations
- Adventhealth Daytona BeachDaytona Beach, FL
- Adventhealth New Smyrna BeachNew Smyrna Beach, FL
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
- Halifax Health Medical CenterDaytona Beach, FL
Industry payments (Open Payments)
- 2024$52.13 · 2 payments from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Medtronic, Inc. | $52.13 | 2 |
What the 2024 payments were for
- Food and Beverage$52.13 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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