Individual provider Active NPI

Shelli A Periard, CRNA

  • Certified Registered Nurse Anesthetist
  • Argyle, NY
National Provider Identifier
1093783573
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5765 Issued in NC
Practice address
4333 County Route 48
Argyle, NY 12809-1709
Phone
(813) 731-8231
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP9170527 FL
Certified Registered Nurse Anesthetist 367500000X 5765 NC Primary

Addresses

Primary practice location

4333 County Route 48
Argyle, NY 12809-1709

Mailing address

4333 County Route 48
Argyle, NY 12809-1709
Phone (813) 731-8231

Other identifiers 1

IdentifierTypeStateIssuer
307432300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC, VA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20070426000065 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668480203 Reassigns benefits to 1 organization
I20180607000417 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668480203 Reassigns benefits to 16 organizations
I20191107001495 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2668480203 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medstream Anesthesia PLLCGroup PAC ID 7416198049, 571 clinicians
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Jefferson, NC 28640-9244
Phone (336) 846-7101

200 Hospital Dr
Galax, VA 24333-2227
Phone (276) 236-1659

3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-5000

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Hospital & facility affiliations

  • Twin County Regional Hospital Hospital, Galax, VA, CCN 490115
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Ashe Memorial Hospital Hospital, Jefferson, NC, CCN 341325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
5765NCMDPsychologist
ARNP9170527FLMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
JJM Medical Services, PC CurrentSince Sep 12, 2022 Accepting new patients
American Anesthesiology of Virginia PC CurrentSince Oct 1, 2019 Accepting new patients
The Presbyterian Hospital CurrentSince May 1, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Jan 6, 2024 Accepting new patients
Medical Park Hospital LLC CurrentSince May 1, 2025 Accepting new patients
Medical Park Hospital LLC CurrentSince May 1, 2025 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC CurrentSince May 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince May 1, 2025 Accepting new patients
Western Carolina Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince May 1, 2025 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince May 1, 2025 Accepting new patients
Novant Health Thomasville Medical Center, LLC CurrentSince May 1, 2025 Accepting new patients
Rowan Regional Medical Center CurrentSince May 1, 2025 Accepting new patients
Wake Forest University Health Sciences CurrentSince Dec 6, 2025 Accepting new patients
Triad Sedation Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 2, 2023 Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince May 1, 2025 Accepting new patients
American Anesthesiology of Virginia, PC CurrentSince Oct 1, 2019 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC CurrentSince May 1, 2025 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
The Presbyterian Hospital CurrentSince May 1, 2025 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Valley Anesthesia PC CurrentSince Nov 1, 2020 Accepting new patients
Suncoast Anesthesia Partners, LLC Past Accepting new patients
Anesthesia Group of Sarasota PA Past Accepting new patients
North Tampa Anesthesia Consultants Past Accepting new patients
Associates of Anesthesiology, LLC Past Accepting new patients

Locations (25 of 26)

1440 Main St
Waltham, MA 02451
Phone (781) 891-9300

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

415 N Center St
Ste 300
Hickory, NC 28601
Phone (828) 328-3300

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

830 Rockford St
Mount Airy, NC 27030
Phone (336) 719-7000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

137 Mount Calvary Rd
#A
Thomasville, NC 27360

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

5 Johnson Rd
Latham, NY 12110
Phone (518) 767-0869

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

19455 Deerfield Ave
Ste 204
Leesburg, VA 20176
Phone (703) 724-9950

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

6801 Governor Gc Peery Hwy
Richlands, VA 24641
Phone (276) 523-8600

Organizations & group practices 37

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.

View all 37

Hospital & facility affiliations 9

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1093783573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROUTE 48",
            "city": "ARGYLE",
            "state": "NY",
            "postal_code": "128091709",
            "telephone_number": "813-731-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 COUNTY ROUTE 48",
            "city": "ARGYLE",
            "state": "NY",
            "postal_code": "128091709",
            "telephone_number": "813-731-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIARD",
        "first_name": "SHELLI",
        "middle_name": "A",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP9170527",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "5765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307432300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Argyle, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2025; 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.

Verify at the official NPI Registry.