Shelley Keller Clark, AG-ACNP
Shelley Keller Clark, AG-ACNP is an Acute Care Nurse Practitioner in Panama City, FL, registered under NPI 1376077636. This provider registers 3 separate taxonomy codes, which usually means they practise across more than one recognised specialty. NPPES records them as a sole proprietor, meaning the practice is not incorporated as a separate legal entity.
Getting there
The practice address on file is 2232 W 24TH ST, Panama City, FL 32405. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| ARNP9288435 | FL | Adult Health Nurse Practitioner |
| ARNP9288435 | FL | Gerontology Nurse Practitioner |
| ARNP9288435 | FL | Acute Care Nurse Practitioner primary |
This provider holds licence ARNP9288435 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Practitioner - Nurse Practitioner
- PAC ID
- 6103186358
- Enrollment ID
- I20180207002174
Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Acute Care covers
Definition to come... NUCC Health Care Provider Taxonomy, code 363LA2100X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 363LA2200X | Adult Health Nurse Practitioner Adult Health | ARNP9288435 | FL | |
| 363LG0600X | Gerontology Nurse Practitioner Gerontology | ARNP9288435 | FL | |
| 363LA2100X | Acute Care Nurse Practitioner Acute Care | ARNP9288435 | FL | primary |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1376077636 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | Apr 13, 2017 |
| Last updated | Mar 27, 2025 |
| Status | Active |
| Sole proprietor | Yes |
| Gender | Female |
| Credential | AG-ACNP |
| Practice address |
2232 W 24TH ST Panama City, FL 32405 (850) 215-3024 |
| Mailing address |
708 BREAKFAST POINT BLVD Panama City Beach, FL 32407 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 3 | 7 | 6 | 0 | 7 | 7 | 6 | 3 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 3 | 5 | 6 | 0 | 7 | 5 | 6 | 6 |
Sum = 64 · next multiple of 10 = 70 · check digit = 6 · actual last digit = 6
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.