Shane Thomas Kelly
- Medicare patients, 2024
- 119
- Hospital affiliations
- 3
- Medical groups
- 5
- State license
- 1
- Year NPI issued
- 2023
- Practice address
- 100 Michigan St NE, Grand Rapids, MI 49503
- Practice phone
- Call (616) 391-1774
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Find Shane Kelly's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Shane Thomas Kelly is a nurse anesthetist in Grand Rapids, Michigan
Shane Kelly practices at Corewell Health Grand Rapids Hospitals - Butterworth in Grand Rapids, Michigan, part of Corewell Health.
Shane Kelly's NPI, 1215629753, was assigned on May 23, 2023. Shane Kelly holds Michigan license 4704329144.
- NPI
- 1215629753NPI Registry (opens in a new tab)
- Medicare PAC ID
- 7719340116
- NPI enumeration date
- May 23, 2023
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Practice phone
- (616) 391-1774
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 29
- Medical school graduation
- 2023
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)
Shane Thomas Kelly practices at Corewell Health Grand Rapids Hospitals - Butterworth in Grand Rapids, Michigan
Shane Kelly's primary practice is Corewell Health Grand Rapids Hospitals - Butterworth, at 100 Michigan St NE, Grand Rapids, MI 49503 in Kent County. The practice phone is (616) 391-1774.
- Corewell Health Grand Rapids Hospitals - Butterworth100 Michigan St NE, Grand Rapids, MI 49503 · Kent CountyPhone(616) 391-1774
Source: Dmand AI Affiliation Data
Shane Thomas Kelly is affiliated with 3 sites of care and 5 medical groups
Shane Kelly's primary practice is Corewell Health Grand Rapids Hospitals - Butterworth in Grand Rapids, Michigan, part of Corewell Health. Shane Kelly is also affiliated with Trinity Health Grand Rapids Hospital. The medical group on file is Corewell Health Medical Group West. Dmand AI also links Shane Kelly to 1 more hospital and 4 medical groups, each named with a free account.
Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data
Dmand AI tracks the EHR system at Shane Thomas Kelly's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Shane Kelly practices, 3 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Corewell Health Grand Rapids Hospitals - Butterworth | Available with a free account |
| +2 more sites and 4 medical groups | Available with a free account |
Source: Dmand AI Technology Install Data
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Shane Thomas Kelly is one of 2,599 nurse anesthetists in Michigan
Nurse anesthetist, certified registered is Shane Kelly's primary specialty in the NPI Registry, under taxonomy code 367500000X. Shane Kelly is licensed in Michigan.
Specialties and state licenses
- Certified registered nurse anesthetist, MichiganPrimary
Nurse anesthetists near Shane Kelly
Counts of nurse anesthetists with a Dmand AI profile, by place and practice. Each opens the list.
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks
Shane Thomas Kelly treated 119 Medicare patients in 2024, average age 74
CMS counts 119 Medicare patients who saw Shane Kelly in 2024. The largest group is 75 to 84, with 50 patients. 75% of them have high blood pressure, and 75% have high cholesterol. 21% are also on Medicaid. Their average risk score is 2.35, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.
Across all payers, Dmand AI patient panel data puts Shane Kelly's median patient age at 59, with 60% women.
Shane Kelly's Medicare patients by age, 2024
Shane Kelly's Medicare patients by sex, 2024
- Women5950%
- Men6050%
Chronic conditions among Shane Kelly's Medicare patients, 2024
- High blood pressure75%
- High cholesterol75%
- Arthritis61%
- Ischemic heart disease49%
- Anxiety41%
- Chronic kidney disease41%
- Diabetes39%
- Heart failure39%
Share of Medicare patients with each condition. A patient can have several.
Shane Kelly's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 59
Patient panel by sex, all payers
- Women60%
- Men40%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
How Shane Thomas Kelly takes part in Medicare
Shane Kelly accepts Medicare assignment, so Medicare's approved amount is taken as full payment.
- Accepts Medicare assignment
- Yes
Source: Doctors and Clinicians National Downloadable File (CMS)
Sources for Shane Thomas Kelly's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | Dmand AI Affiliation Data |
| Primary practice, affiliations and health system | Dmand AI Affiliation DataDmand AI Org Hierarchy Data |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| MIPS scores, telehealth, assignment and procedure percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab) |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Shane Thomas Kelly
Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.
What is Shane Thomas Kelly's NPI number?
Shane Thomas Kelly's NPI number is 1215629753. It was assigned on May 23, 2023, and it is active in the NPI Registry.
What does Shane Thomas Kelly specialize in?
Shane Thomas Kelly is a nurse anesthetist in Grand Rapids, Michigan. The primary specialty in the NPI Registry is Certified Registered Nurse Anesthetist (taxonomy code 367500000X).
Where does Shane Thomas Kelly practice?
Shane Kelly practices at 100 Michigan St NE, Grand Rapids, MI 49503. Shane Kelly's primary practice is Corewell Health Grand Rapids Hospitals - Butterworth in Grand Rapids, Michigan, part of Corewell Health. Dmand AI also links Shane Kelly to 1 hospital and 4 medical groups.
What is Shane Thomas Kelly's office phone number?
The practice phone on file for Shane Kelly is (616) 391-1774.
What is Shane Thomas Kelly's medical license number?
Shane Kelly holds Michigan license 4704329144.
Which hospitals is Shane Thomas Kelly affiliated with?
Shane Kelly practices at Corewell Health Grand Rapids Hospitals - Butterworth in Grand Rapids, Michigan. Shane Kelly is also affiliated with Trinity Health Grand Rapids Hospital. Dmand AI links Shane Kelly to 1 more hospital.
What medical group is Shane Thomas Kelly part of?
Shane Kelly is linked to Corewell Health Medical Group West. Dmand AI links Shane Kelly to 4 more medical groups.
Does Shane Thomas Kelly accept Medicare?
Yes. CMS lists Shane Kelly as accepting Medicare assignment.
How many Medicare patients does Shane Thomas Kelly see?
CMS counts 119 Medicare patients who saw Shane Kelly in 2024, with an average age of 74.
How long has Shane Thomas Kelly been practicing?
Shane Kelly graduated from medical school in 2023, 3 years ago.
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