Kelly Dean Shrum, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

E0704 Issued in AR

Practice address

535 Jordan Dr
Monticello, AR 71655-5714

Phone

(870) 367-6246

NPI assigned

Jan 23, 2006

Last updated

Mar 26, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Specialty

Orthopedic Surgery

Education

Oklahoma State University College of Osteopathic Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mainline Health Systems IncGroup PAC ID 5193785590, shared by 34 NPIs, 55 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kelly.shrum@mhsi.eclinicaldirectplus.com

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

• Mainline Health Systems, Inc

  dba Mills Middle School

  • Federally Qualified Health Center (FQHC)
  • Little Rock, AR
  • NPI 1164264834
  Medicare reassignment NPD
• Arkansas Center for Women, LTD

  • Obstetrics & Gynecology Physician
  • Pine Bluff, AR
  • NPI 1205977196
  NPD (past) Authorized official
• Camcade Imaging Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Warren, AR
  • NPI 1053602532
  NPD
• Mainline Health Systems Inc

  dba Mainline Dermott Medical Clinic

  • Federally Qualified Health Center (FQHC)
  • Dermott, AR
  • NPI 1386758043
  NPD
• Mainline Health Systems, Inc

  dba Mainline Health Magnolia Clinic

  • Federally Qualified Health Center (FQHC)
  • Magnolia, AR
  • NPI 1972464337
  NPD
• Drew Professional Services

  • Multi-Specialty Clinic/Center
  • Monticello, AR
  • NPI 1316131048

  Obstetrics & Gynecology

  NPD (past)
• Mainline Health Systems, Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, AR
  • NPI 1669401501
  NPD (past)

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

• Baptist Health

  dba Baptist Health Medical Center - Drew County

  • General Acute Care Hospital
  • Monticello, AR
  • NPI 1962283192
  Care Compare affiliation

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774483200000",
    "number": "1427028638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 HIGHWAY 425 S",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716554612",
            "telephone_number": "870-942-3000",
            "fax_number": "870-942-3005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 JORDAN DR",
            "city": "MONTICELLO",
            "state": "AR",
            "postal_code": "716555714",
            "telephone_number": "870-367-6246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHRUM",
        "first_name": "KELLY",
        "middle_name": "DEAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "E0704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "136791003",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "QUALCHOICE",
            "identifier": "18424000000",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kelly.shrum@mhsi.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "535 Jordan Dr",
            "city": "Monticello",
            "state": "AR",
            "country_code": "US",
            "postal_code": "716555714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sandra Sheiron, D.O.
• Sherita Shepherd, LPC-CADC
• Yohei Shimozaki, ATC
• Delvin Shipp
• Michelle A Shirey, LPN
• Lani Simmons
• Vanessa Simmons
• Sylvia Simon, M.D.
• Timothy M Simon, M.D.
• Elaine M Simpson, QBHP

• Obstetrics & Gynecology Physician in Monticello, AR
• Providers in Monticello, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.