John R Shell, M.D.
Individual provider Active NPI Family Medicine Physician · Burlington, KS
NPI 1366446221 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1366446221
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-23694 (KS)
- Practice address
- 309 Sanders St
Burlington, KS 66839-2616 - Phone
- (620) 364-5395
- Fax
- (620) 364-8719
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 14
Owned or controlled facilities with NPI records 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Coffey County Hospital
Coffey County Medical Center
Practice addresses (Care Compare)
110 S 6TH St
Suite 202
Burlington, KS 66839-1798
309 Sanders St
Burlington, KS 66839-2616
Phone (620) 364-5395
801 N 4TH St
Burlington, KS 66839-2602
Phone 62036421214182
Hospital & facility affiliations
- Home Town Health Care
- Home Town Health Care
- Angels Care Home Health
- Angels Care Home Health
- Hand in Hand Hospice
- Coffey County Hospital
- Newman Regional Health
- University of Kansas Health System - St Francis Campus
- Stormont Vail Hospital
- University of Kansas Hospital
- Life Care Center of Burlington
- Coffey County Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 5
| Facility | Type | Role | Since |
|---|---|---|---|
| Coffey County Hospital |
Hospital | Corporate Officer W-2 Managing Employee (100%) |
Aug 1, 1993 Jan 1, 2017 |
| Coffey County Hospital |
Hospital | Corporate Officer W-2 Managing Employee (25%) |
Aug 1, 1993 Jan 1, 2017 |
| Coffey County Medical Center RHC |
Rural health clinic | Corporate Officer W-2 Managing Employee |
Nov 14, 2016 Nov 14, 2016 |
| Waverly Medical Clinic |
Rural health clinic | Corporate Officer W-2 Managing Employee |
Feb 1, 2014 Feb 7, 2014 |
| Yates Center Medical Center Rural Health Clinic |
Rural health clinic | Corporate Officer (100%) W-2 Managing Employee (100%) |
Nov 14, 2016 Nov 14, 2016 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120116000075 | KS | Practitioner - Family Practice | 7810958196 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-23694 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coffey County Hospital | Current |
Accepting new patients | |
| Coffey County Medical Center | Family Medicine | Current |
Accepting new patients |
| Coffey County Hospital | Family Medicine | Current |
Accepting new patients |
| Coffey County Hospital | Current | Accepting new patients | |
| Coffey County Hospital | Past | Accepting new patients | |
| Coffey County Medical Center | Family Medicine | Past | Accepting new patients |
| Burlington Medical Investors, LLC | Past | Accepting new patients | |
| Coffey County Medical Center | Past | Accepting new patients |
Locations
801 N 4th St
Burlington, KS 66839
Phone (620) 364-2121
309 Sanders St
Burlington, KS 66839
Phone (620) 364-2121
1004 E Madison St
Yates Center, KS 66783
Phone (620) 625-2312
Interoperability endpoints
- jshell@coffeyhealthdirect.org
- jshell@chs.securechart.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-23694 | KS | Yes |
Addresses
Primary practice location
309 Sanders St
Burlington, KS 66839-2616
Mailing address
PO Box 289
Burlington, KS 66839-0289
Phone (620) 364-5395
Other providers in Burlington, KS
- Quest Services, Inc.
- Debra Ann Reaves
- Myra Anne Richard
- Rock Creek Dental, P.a.
- Ceara Shaughnessy
- Jon O Sides
- Jeff M Sloyer
- Rick Dale Smith
- Linda Kay Snyder
- Solid Ground Counseling Center LLC
All providers in Burlington, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.