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

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