Individual provider Active NPI

Shelley Ann Durante, CRNA

  • Certified Registered Nurse Anesthetist
  • Buffalo, NY
National Provider Identifier
1326105545
Registry record updated Apr 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
439159 Issued in NY
Practice address
1001 Main St. Suite K3502
Buffalo, NY 14203
Phone
(716) 692-3302
Fax
(716) 213-0935
NPI assigned
Jan 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 439159 NY Primary

Addresses

Primary practice location

1001 Main St. Suite K3502
Buffalo, NY 14203

Mailing address

1001 Main St. Suite K3502
Buffalo, NY 14203
Phone (716) 692-3302

Other identifiers 1

IdentifierTypeStateIssuer
00112MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150505000231 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183684889 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians

Practice addresses (Care Compare)

621 10TH St
Niagara Falls, NY 14301-1813
Phone (716) 278-4000

Hospital & facility affiliations

  • Niagara Falls Memorial Medical Center Hospital, Niagara Falls, NY, CCN 330065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
4063CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Parkside Medical Anesthesia Associates Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2021 Accepting new patients
Southtowns Ambulatory Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Oct 26, 2017 Accepting new patients
Endoscopy Center of Niagara, LLC CurrentSince Jun 8, 2023 Accepting new patients
Anesthesiology Medical Consultants, PLLC CurrentSince Apr 14, 2018 Accepting new patients
Endoscopy Center of Western New York LLC CurrentSince Jun 8, 2023 Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Jun 27, 2023 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Jun 1, 2020 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Physician Anesthesia Group PS Nurse Anesthetist, Certified Registered Past Accepting new patients
Buffalo Advanced Medical, P.C. Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

2157 Main St
Buffalo, NY 14214
Phone (716) 862-1501

1001 Main St
Ste K3502
Buffalo, NY 14203
Phone (716) 323-6576

3871 Harlem Rd
Ste 202
Buffalo, NY 14215

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

462 Grider St
Cheektowaga, NY 14215
Phone (716) 831-8612

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

6930 Williams Rd
Ste 3010
Niagara Falls, NY 14304
Phone (716) 284-3264

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

5959 Big Tree Rd
Orchard Park, NY 14127
Phone (716) 260-1593

2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100

60 Maple Rd
#2
Williamsville, NY 14221
Phone (716) 332-1000

338 Harris Hill Rd
Ste 207
Williamsville, NY 14221

Organizations & group practices 11

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619395200000",
    "number": "1326105545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST. SUITE K3502",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MAIN ST. SUITE K3502",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "14203",
            "telephone_number": "716-692-3302",
            "fax_number": "716-213-0935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURANTE",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2021-04-26",
        "certification_date": "2021-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "439159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00112",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; 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.