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

Kelly Shaffer, MD

Individual provider Family Medicine Physician · NPI 1962681577

Kelly Shaffer, MD is a Family Practice in Bend, Oregon. Graduated from Vanderbilt University School of Medicine in 2007, 19 years ago. Practices with Clark Regional Physician Practices LLC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
19
Trained at
Vanderbilt University School of Medicine
Licensed in
KY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2500 NE Neff Rd
Bend, OR 97701-6015
Phone: (541) 706-6892
Fax: (541) 706-6813
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2195 Harrodsburg Rd Ste 125, Lexington, KY 40504-3504 — (859) 323-6711

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence TP735 (KY)

Record details

NPI number1962681577
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 31, 2007
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address234 Goodman St, Mail Location 0796, Cincinnati, OH 45219-2364

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Clark Regional Physician Practices Llc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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