Active NPI
Shelly Harley, CRNA
- Certified Registered Nurse Anesthetist
- Orange, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 537368
- Practice address
- 608 Strickland Dr
Dept. of Anesthesia
Orange, TX 77630-4717 - Phone
- (409) 883-1303
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 537368 | TX | Primary |
Addresses
Primary practice location
608 Strickland Dr
Dept. of Anesthesia
Orange, TX 77630-4717
Mailing address
PO Box 2127
Dept. of Anesthesia
Athens, TX 75751-7127
Phone (903) 677-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050817000900 | TX | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6305876533 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
224 E 2ND St
Moore County Hosp Dist
Dumas, TX 79029-3808
Phone (806) 934-7824
Hospital & facility affiliations
- Ut Health East Texas Jacksonville Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 537368 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergenchealth PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Central Kansas Anesthesia PA | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
224 E 2nd St
Dumas, TX 79029
Phone (806) 934-7813
501 S Ragsdale St
Jacksonville, TX 75766
Phone (903) 541-5000
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
7400 Barlite Blvd
San Antonio, TX 78224
Phone (210) 921-2000
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
- Fort Worth, TX
- NPI 1467970897
Nurse Anesthetist, Certified Registered, TX
-
- Anesthesiology Physician
- Mineral Wells, TX
- NPI 1841258076
Nurse Anesthetist, Certified Registered, TX
-
- Cardiovascular Disease Physician
- Mineral Wells, TX
- NPI 1366400582
-
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1376278366
-
- Family Medicine Physician
- Mineral Wells, TX
- NPI 1922056993
-
- Certified Registered Nurse Anesthetist
- Great Bend, KS
- NPI 1497723225
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461196800000",
"number": "1053449488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2127",
"address_2": "DEPT. OF ANESTHESIA",
"city": "ATHENS",
"state": "TX",
"postal_code": "757517127",
"telephone_number": "903-677-1000",
"fax_number": "903-677-1694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "608 STRICKLAND DR",
"address_2": "DEPT. OF ANESTHESIA",
"city": "ORANGE",
"state": "TX",
"postal_code": "776304717",
"telephone_number": "409-883-1303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARLEY",
"first_name": "SHELLY",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2016-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "537368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.