Active NPI
Shelby Brooke McCloud
- Certified Registered Nurse Anesthetist
- Logan, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 123606
- Practice address
- 20 Hospital Dr
Logan, WV 25601-3452 - Phone
- (304) 831-1101
- NPI assigned
- Jul 1, 2025
- Last updated
- Jul 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 123606 | WV | Primary |
Addresses
Primary practice location
20 Hospital Dr
Logan, WV 25601-3452
Mailing address
420 Rocklick Branch Rd
Chapmanville, WV 25508-7766
Phone (304) 687-0024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Hospital Dr
Logan, WV 25601-3452
Phone (304) 553-7680
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Logan Regional Anesthesia Services, LLC | Current | Accepting new patients |
Locations
20 Hospital Dr
Logan, WV 25601
Phone (304) 792-1101
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Logan, WV
- NPI 1033838727
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Logan Regional Medical Center
- Medicare Defined Swing Bed Hospital Unit
- Logan, WV
- NPI 1295789675
-
dba Logan Regional Medical Center
- General Acute Care Hospital
- Logan, WV
- NPI 1750332565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751328000000",
"number": "1437048717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "420 ROCKLICK BRANCH RD",
"city": "CHAPMANVILLE",
"state": "WV",
"postal_code": "255087766",
"telephone_number": "304-687-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 HOSPITAL DR",
"city": "LOGAN",
"state": "WV",
"postal_code": "256013452",
"telephone_number": "304-831-1101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLOUD",
"first_name": "SHELBY",
"middle_name": "BROOKE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-07-01",
"last_updated": "2025-07-01",
"certification_date": "2025-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WV",
"license": "123606",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Logan, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.