Individual provider Active NPI

Shelby Hoose

  • Anesthesiologist Assistant
  • Savannah, GA
National Provider Identifier
1295874535
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
565-17 Issued in WI
Practice address
6605 Abercorn St
St 108
Savannah, GA 31405-5815
Phone
(912) 354-5357
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 003693 GA
Anesthesiologist Assistant 367H00000X 565-17 WI Primary

Addresses

Primary practice location

6605 Abercorn St
St 108
Savannah, GA 31405-5815

Mailing address

804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081224000217 MO Practitioner - Anesthesiology Assistant 3779673488 Reassigns benefits to 3 organizations
I20250819000239 WI Practitioner - Anesthesiology Assistant 3779673488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthomed Staffing LLCGroup PAC ID 9638429178, 373 clinicians
Vituity-Wisconsin Anesthesia SCGroup PAC ID 2163968819, 144 clinicians

Practice addresses (Care Compare)

1050 Old Des Peres Rd
Suite 150
Saint Louis, MO 63131-1874
Phone (888) 324-7432

2301 N Lake Dr
Milwaukee, WI 53211-4508
Phone (414) 585-1132

Hospital & facility affiliations

  • Ascension Columbia St Marys Hospital Milwaukee Hospital, Milwaukee, WI, CCN 520051

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
003693GAMDMedical Physician Assistant
3693GAMDCertified Registered Nurse Anesthetist
565-17WIMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vituity-Wisconsin Anesthesia SC CurrentSince May 31, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince Dec 7, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC CurrentSince May 31, 2025 Accepting new patients
Vituity-Wisconsin Anesthesia SC Current Accepting new patients
Midwest Anesthesia Providers S.C Anesthesiologist Assistant CurrentSince Apr 1, 2023 Accepting new patients
Lighthouse Anesthesia LLC Past Accepting new patients
Anesthesia Associates of Savannah ,PA Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

17050 Baxter Rd
Ste 110
Chesterfield, MO 63005
Phone (636) 537-0122

400 Parkland Dr
Farmington, MO 63640
Phone (303) 755-3201

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000

1050 Old des Peres Rd
Ste 150
Saint Louis, MO 63131
Phone (314) 396-9517

9701 Landmark Parkway Dr
Ste 100
Saint Louis, MO 63127
Phone (314) 396-9517

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

12639 Old Tesson Rd
Ste 130
Saint Louis, MO 63128
Phone (314) 729-0785

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

9555 76th St
Pleasant Prairie, WI 53158
Phone (262) 577-8000

Organizations & group practices 8

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.

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": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744675200000",
    "number": "1295874535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SCOTT NIXON MEMORIAL DR",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072464",
            "telephone_number": "800-394-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6605 ABERCORN ST",
            "address_2": "ST 108",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314055815",
            "telephone_number": "912-354-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOSE",
        "first_name": "SHELBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "003693",
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "WI",
            "license": "565-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.