Shylah Ann Cassidy
Individual provider Active NPI Certified Registered Nurse Anesthetist · Elysian, MN
NPI 1104772888 · NPPES record last updated Mar 6, 2026
Key facts
- NPI
- 1104772888
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 2198004 (MN)
- Practice address
- 915 State Highway 60
Elysian, MN 56028-4505 - Phone
- (507) 351-6442
- NPI assigned
- Mar 6, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2198004 | MN | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 2198004 | MN | Yes |
Addresses
Primary practice location
915 State Highway 60
Elysian, MN 56028-4505
Mailing address
915 State Highway 60
Elysian, MN 56028-4505
Phone (507) 351-6442
Other providers in Elysian, MN
All providers in Elysian, MN · Certified Registered Nurse Anesthetist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.