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

Krista E. Shackelford, MD

Individual provider Dermatology Physician · NPI 1922038801

Krista E. Shackelford, MD is a Dermatology in Wichita, Kansas. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2002, 24 years ago. Practices with The Dermatology Clinic PA, a 6-clinician group and accepts Medicare assignment. Licensed in Indiana and Kansas.

Years since qualifying
24
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
IN, KS
In the registry since
2006
Specialties on file
2
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

835 N Hillside St
Wichita, KS 67214-4913
Phone: (316) 685-4395
Fax: (316) 685-1149
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 0432039 (KS)
Dermatology Physician Taxonomy 207N00000X · Licence 01061838A (IN)

Record details

NPI number1922038801
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 4, 2006
Last updated in NPPESApril 2, 2008
Mailing address835 N Hillside St, Wichita, KS 67214-4913

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2002 (24 years in practice)
Group practice The Dermatology Clinic Pa — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Wichita