Walter Shelton III, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

ARNP1859212 Issued in FL

Practice address

1001 Sam Perry Blvd
Mary Washington Hospital
Fredericksburg, VA 22401-4453

Phone

(540) 741-7614

Fax

(540) 741-7615

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

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.

• American Anesthesiology Associates of Virginia, Inc

  • Anesthesiology Physician
  • Fredericksburg, VA
  • NPI 1528059896
  NPD (past)
• Alta Anesthesia Associates of Georgia, PC

  • Anesthesiology Physician
  • Brunswick, GA
  • NPI 1275504771

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Americus & Sumter County Hospital Authority

  dba Sumter Regional Hospital

  • Rehabilitation Hospital Unit
  • Americus, GA
  • NPI 1164517173
  NPD (past)
• Anesthesia Associates of Clay County

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1326040908
  NPD (past)
• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414
  NPD (past)
• Lenoir Memorial Hospital, Incorporated

  dba Certified Registered Nurse Anesthetist

  • Certified Registered Nurse Anesthetist
  • Kinston, NC
  • NPI 1679517296

  Nurse Anesthetist, Certified Registered

  NPD (past)
• Mount Desert Island Hospital

  dba Community Dental Center

  • Dental Clinic/Center
  • Southwest Harbor, ME
  • NPI 1235553413
  NPD (past)
• Mount Desert Island Hospital

  • Critical Access Hospital
  • Bar Harbor, ME
  • NPI 1790764512
  NPD (past)
• Sumter Regional Medical Group, PC

  • Specialist
  • Americus, GA
  • NPI 1073685996
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1174571343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3676 BILLINGS ST",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294666888",
            "telephone_number": "904-557-8561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SAM PERRY BLVD",
            "address_2": "MARY WASHINGTON HOSPITAL",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014453",
            "telephone_number": "540-741-7614",
            "fax_number": "540-741-7615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELTON",
        "first_name": "WALTER",
        "name_suffix": "III",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN172500",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1859212",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "ME",
            "license": "AA083444",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024166332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - MDIH",
            "identifier": "000531601",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FL",
            "identifier": "G2936",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301633100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "550353313B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD RETIREMENT",
            "identifier": "430068749",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amir Shazad, MD
• Clifton A. Sheets, M.D.
• Michelle Susann Shegogue, MSPT
• Cornell Shelton, MD
• Gwendolyn Shelton
• Christopher Shen, MD
• Addison Kendall Shenk, DO
• Sheridan Anesthesia Services of Virginia, Inc
• Sheridan Anesthesia Services of Virginia, Inc
• Sheridan Children's Healthcare Services of Virginia, Inc

• Certified Registered Nurse Anesthetist in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Certified Registered Nurse Anesthetist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.