Shelby Ann Kenner (NPI# 1538170832, PAC ID# 8123057932) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1538170832 |
PAC ID by PECOS | 8123057932 |
Professional Enrollment ID | I20050811000275 |
Full Name | Shelby Ann Kenner |
Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
Address |
5717 S Anthony Blvd Suite 100 Fort Wayne IN 46806-3303 |
Phone Number | 2604693984 |
Gender | F |
Credential | MD |
Medical School | INDIANA UNIVERSITY SCHOOL OF MEDICINE |
Graduation Year | 2004 |
Primary Specialty | FAMILY MEDICINE |
Group Practice PAC ID | 4981751617 |
Number of Group Practice Members | 211 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
150047 | ST JOSEPH HOSPITAL |
150017 | LUTHERAN HOSPITAL OF INDIANA |
150021 | PARKVIEW REGIONAL MEDICAL CENTER |
150150 | DUPONT HOSPITAL LLC |
Address | Phone | Organization |
---|---|---|
2516 E Dupont Rd, Fort Wayne, IN 46825-1608 | 2604346076 | LUTHERAN MEDICAL GROUP LLC |
3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 | 2604322297 | LUTHERAN MEDICAL GROUP LLC |
5717 S Anthony Blvd, Suite 100, Fort Wayne, IN 46806-3303 | 2604693984 | LUTHERAN MEDICAL GROUP LLC |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_EP_1 | e-Prescribing | 96% | |
ACI_EC_TRANS_HIE_1 | Health Information Exchange | 70% | |
ACI_EC_TRANS_MR_1 | Medication Reconciliation | 97% | |
ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 9% | |
ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 93% | |
ACI_EC_TRANS_SM_1 | Secure Messaging | 14% |
Organization Legal Name | LUTHERAN MEDICAL GROUP LLC |
Physicians | 216 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melissa Stemen | Nurse Practitioner | Lutheran Medical Group LLC | 11115 Lima Rd, Fort Wayne, IN 46818-9536 |
David C. Cronin | General Surgery | Lutheran Medical Group LLC | 2516 E Dupont Rd, Fort Wayne, IN 46825-1608 |
George Steven Kalesperis | Family Medicine | Lutheran Medical Group LLC | 6511 E State Blvd, Fort Wayne, IN 46815-7026 |
Ann R. Moore | Nurse Practitioner | Lutheran Medical Group LLC | 303 S Main St, Bluffton Regional Hospital, Bluffton, IN 46714-2503 |
Stephanie A Clouse | Nurse Practitioner | Lutheran Medical Group LLC | 7916 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
Nicole Sanderson | Nurse Practitioner | Lutheran Medical Group LLC | 3534 Brooklyn Ave, Fort Wayne, IN 46809-1361 |
Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
Ibad Ul-haq Farooqui | Family Medicine | Lutheran Medical Group LLC | 402 E Main St, Fort Wayne, IN 46802-1910 |
Christine Springer | Nurse Practitioner | Lutheran Medical Group LLC | 10429 Hosler Rd, Leo, IN 46765-9739 |
Leia A Becktell | Nurse Practitioner | Lutheran Medical Group LLC | 7952 W Jefferson Blvd, The Orthopedic Hospital, Fort Wayne, IN 46804-4140 |
Street Address |
5717 S ANTHONY BLVD SUITE 100 |
City | FORT WAYNE |
State | IN |
Zip | 46806-3303 |
Name | Specialty | Organization | Address |
---|---|---|---|
Kanika Jaggi | Family Medicine | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 800, Fort Wayne, IN 46806-3393 |
Lily Kwatampora | Endocrinology | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 200, Fort Wayne, IN 46806-3300 |
Richard M Hilker | Podiatry | Richard M. Hilker, Dpm, P.C. | 5717 S Anthony Blvd, Suite 600, Fort Wayne, IN 46806-3394 |
Dale H Aeschliman | Family Medicine | 5717 S Anthony Blvd, Suite 600, Fort Wayne, IN 46806-3394 | |
Hector F Perez | Family Medicine | 5717 S Anthony Blvd, Suite 500, Fort Wayne, IN 46806-3300 | |
Loretta L Bazur-persing | Nurse Practitioner | Lutheran Medical Group LLC | 5717 S Anthony Blvd, Suite 200, Fort Wayne, IN 46806-3300 |
Name | Specialty | Organization | Address |
---|---|---|---|
Melinda Davis | Clinical Social Worker | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
Benny Fair Jr. | Podiatry | 2700 Lafayette St, Suite 100, Fort Wayne, IN 46806-1100 | |
Deborah S Baker | Nurse Practitioner | Park Center Inc | 2700 Lafayette St, Fort Wayne, IN 46806-1100 |
City | FORT WAYNE |
Zip Code | 46806 |
Specialty | FAMILY MEDICINE |
City + Specialty | FORT WAYNE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Shelby Ann Kenner.
Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.