Kelly Ray Shantz, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fairmont, MN

  1. Home
  2. Nurse Anesthetist - CR
  3. MN
  4. Fairmont
Kelly Ray Shantz, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fairmont, Minnesota. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mayo Clinic Health System-southwest Minnesota Region, Mayo Clinic Health System-fairmont and his current practice location is 800 Medical Center Dr, Fairmont, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 238-8555.

Kelly Ray Shantz is licensed to practice in Minnesota (license number 868) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477540995.

Contact Information

Kelly Ray Shantz, CRNA
800 Medical Center Dr,
Fairmont, MN 56031-4575
(507) 238-8555
Not Available

Map and Direction




Provider's Profile

Full NameKelly Ray Shantz
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location800 Medical Center Dr, Fairmont, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Ray Shantz graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1477540995
  • Provider Enumeration Date: 09/29/2005
  • Last Update Date: 09/17/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 2567428204
  • Enrollment ID: I20041206000084

Medical Identifiers

Medical identifiers for Kelly Ray Shantz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477540995NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered R 162289-8 (Minnesota)Secondary
367500000XNurse Anesthetist, Certified Registered 868 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Health System - FairmontFairmont, MNHospital
Mayo Clinic Health System - MankatoMankato, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic Health System-southwest Minnesota Region4688585771528
Mayo Clinic Health System-fairmont4981694981135

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kelly Ray Shantz allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic Health System-southeast Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891701637
PECOS PAC ID: 4385556703
Enrollment ID: O20031104000408
Entity NameMayo Clinic Health System-southwest Minnesota Region
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578545422
PECOS PAC ID: 4688585771
Enrollment ID: O20031110000134
Entity NameMayo Clinic Health System-fairmont
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366410862
PECOS PAC ID: 4981694981
Enrollment ID: O20040719000142
Entity NameMayo Clinic Health System St James
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023177730
PECOS PAC ID: 9537170352
Enrollment ID: O20060509000021

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Ray Shantz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ray Shantz, CRNA
800 Medical Center Dr,
Fairmont, MN 56031-4575

Ph: (507) 238-8555		Kelly Ray Shantz, CRNA
800 Medical Center Dr,
Fairmont, MN 56031-4575

Ph: (507) 238-8555

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fairmont, MN

David Krusemark, CRNA
Nurse Anesthetist - CR
Medicare: May Accept Medicare Assignments
Practice Location: 800 Medical Center Dr, Fairmont, MN 56031
Phone: 507-238-8555    
Joseph Michael Klick, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 717 S State St, Ste 100, Fairmont, MN 56031
Phone: 507-235-3939    
Matthew Jewett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Medical Center Dr, Fairmont, MN 56031
Phone: 507-238-8100    
Craig Bergh, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 717 S State St Ste 100, Fairmont, MN 56031
Phone: 507-235-3939    
Steven Jerred, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Medical Center Dr, Fairmont, MN 56031
Phone: 507-238-8100    
Mr. Shawn Michael Overgaard, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 800 Medical Center Dr, Fairmont, MN 56031
Phone: 507-238-8110    Fax: 507-238-8686

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.