Active NPI
Shelley Ailanjian, F.N.P.
- Family Nurse Practitioner
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 5613
- Practice address
- 1383 E Herndon Ave
Suite 101
Fresno, CA 93720-3302 - Phone
- (559) 449-8004
- Fax
- (559) 449-8037
- NPI assigned
- Apr 20, 2007
- Last updated
- Aug 17, 2026
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 5613 | CA | Primary |
Addresses
Primary practice location
1383 E Herndon Ave
Suite 101
Fresno, CA 93720-3302
Mailing address
1383 E Herndon Ave Ste 101
Fresno, CA 93720-3302
Phone (559) 449-8004
Other practice location 1
7202 N Millbrook Ave Ste 208
Fresno, CA 93720-3341
Phone (559) 450-6388
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5613 | Other | CA | NURSE PRACTIONER CERT |
| RN371366 | Other | CA | REGISTERED NURSE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777
1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3433
1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.57 of 100
- Quality
- 63.43
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 77.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5613 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LQMG Medical Group Inc. | Current | Accepting new patients | |
| Saint Agnes Medical Foundation | Current | Accepting new patients | |
| Matsam Medical Group, Inc. | Past | Accepting new patients |
Locations
1111 E Spruce Ave
Ste 431
Fresno, CA 93720
Phone (559) 450-5611
1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777
1383 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 449-8004
Interoperability endpoints
- sailjanian2715567@direct.trinity-health.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Saint Agnes Care
- Internal Medicine Physician
- Fresno, CA
- NPI 1558819482
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1437166360
-
dba OB-GYN Associates Medical Group
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1821105651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Clovis Community Medical Center
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1174741714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1383 E HERNDON AVE STE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203302",
"telephone_number": "559-449-8004",
"fax_number": "559-449-8037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1383 E HERNDON AVE",
"address_2": "SUITE 101",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203302",
"telephone_number": "559-449-8004",
"fax_number": "559-449-8037"
}
],
"practiceLocations": [
{
"address_1": "7202 N Millbrook Ave Ste 208",
"address_purpose": "LOCATION",
"city": "Fresno",
"state": "CA",
"postal_code": "937203341",
"country_code": "US",
"telephone_number": "559-450-6388",
"fax_number": "559-450-6390",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AILANJIAN",
"first_name": "SHELLEY",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-20",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "5613",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NURSE PRACTIONER CERT",
"identifier": "5613",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGISTERED NURSE LICENSE",
"identifier": "RN371366",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.