Individual provider Active NPI

Kelsey Shnaekel, MD

  • Obstetrics & Gynecology Physician
  • Jonesboro, AR
National Provider Identifier
1295199099
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E-13194 Issued in AR
Practice address
800 S Church St Ste 302
Jonesboro, AR 72401-4107
Phone
(870) 935-3990
Fax
(870) 935-0871
NPI assigned
Apr 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X E-13194 AR Primary

Addresses

Primary practice location

800 S Church St Ste 302
Jonesboro, AR 72401-4107

Mailing address

800 S Church St Ste 302
Jonesboro, AR 72401-4107
Phone (870) 935-3990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720002239 AR Practitioner - Obstetrics/Gynecology 8820380991 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Bernards Physician Clinics IncGroup PAC ID 7012311269, 211 clinicians

Practice addresses (Care Compare)

800 S Church St
Suite 302
Jonesboro, AR 72401-4107
Phone (870) 935-3990

Hospital & facility affiliations

  • St Bernards Medical Center Hospital, Jonesboro, AR, CCN 040020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
E-13194ARMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Bernards Hospital Inc. Single Specialty CurrentSince Oct 1, 2020 Accepting new patients
St Bernards Physician Clinics Inc Single Specialty Current Accepting new patients
St Bernards Physician Clinics Inc Single Specialty CurrentSince Aug 1, 2023 Accepting new patients
St Bernards Hospital Inc Single Specialty CurrentSince May 1, 2024 Accepting new patients
St Bernards Physician Clinics, Inc. CurrentSince Aug 1, 2023 Accepting new patients

Locations

1005 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 935-1242

800 S Church St
Ste 302
Jonesboro, AR 72401
Phone (501) 935-3990

1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440

225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630

Interoperability endpoints

  • Direct secure messaging: kshnaekel@stbobgyn.gwaydirect.com
  • Direct secure messaging: klshnaekel@sbpc.medalliesdirect.net

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1295199099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 302",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014107",
            "telephone_number": "870-935-3990",
            "fax_number": "870-935-0871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CHURCH ST STE 302",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014107",
            "telephone_number": "870-935-3990",
            "fax_number": "870-935-0871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHNAEKEL",
        "first_name": "KELSEY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E-13194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

Verify at the official NPI Registry.