Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1811774417

Dr. Kenneth Ryan Shackelford, DNP, APRN, FNP-BC is a Nurse Practitioner in Festus, Missouri. Qualified in 2023, 3 years ago. Practices with Interventional Pain Institute, LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
3
Licensed in
MO
In the registry since
2023
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1405 N Truman Blvd
Festus, MO 63028-1177
Phone: (636) 933-2243
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 500 Chesterfield Ctr Ste 250, Chesterfield, MO 63017-4833 — (636) 519-8889

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023036843 (MO)

Record details

NPI number1811774417
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , APRN , FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 8, 2023
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Interventional Pain Institute, Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Festus