Active NPI
John Austin Shelton, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3010120
- Practice address
- 530 S Jackson St
Louisville, KY 40202-1675 - Phone
- (502) 852-1735
- Fax
- (502) 852-6056
- NPI assigned
- Jan 30, 2015
- Last updated
- Jul 8, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 103483 | TN | |
| Certified Registered Nurse Anesthetist | 367500000X | 3010120 | KY | Primary |
| Registered Nurse | 163W00000X | RN0000169631 | TN |
Addresses
Primary practice location
530 S Jackson St
Louisville, KY 40202-1675
Mailing address
PO Box 909
Louisville, KY 40201-0909
Phone (502) 588-0328
Other practice location 1
110 29th Ave N
Ste 202
Nashville, TN 37203-1401
Phone (615) 327-4304 ext. 6182
Other practice location 2
200 Abraham Flexner Way
Louisville, KY 40202-2877
Phone (502) 587-4404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300039773 | Medicaid | IN | |
| 7100371010 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
222 Medical Cir
Morehead, KY 40351-1179
Phone (606) 783-6500
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.64 of 100
- Quality
- 56.63
- Improvement activities
- 40
- Cost
- 74.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN0000169631 | TN | MD | Registered Nurse |
| 3010120 | KY | MD | Certified Registered Nurse Anesthetist |
| 103483 | TN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| University of Louisville Physicians, Inc. | Current | Accepting new patients | |
| St Claire Medical Center, Inc | Current | Accepting new patients | |
| St Claire Medical Center, Inc., | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| St. Claire Medical Center Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
7752 Solution Ctr
Chicago, IL 60677
200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983
530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000
571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700
222 Medical Cir
Morehead, KY 40351
Phone (606) 783-6455
Organizations & group practices 5
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 St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1821168535
Nurse Anesthetist, Certified Registered
-
- Internal Medicine Physician
- Louisville, KY
- NPI 1366722316
-
dba St Claire Healthcare Urgent Care
- Rural Health Clinic/Center
- Morehead, KY
- NPI 1477236487
-
dba dba St. Claire Regional Anesthesia Professionals
- Anesthesiology Physician
- Morehead, KY
- NPI 1932383833
Nurse Anesthetist, Certified Registered
-
dba ULP Radiological Associates
- Diagnostic Radiology Physician
- Louisville, KY
- NPI 1316294127
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cave Run Surgical Specialists
- Surgery Physician
- Morehead, KY
- NPI 1053465666
Hospital
-
dba St Claire Regional Medical Center
- General Acute Care Hospital
- Morehead, KY
- NPI 1124078696
-
dba St. Claire Family Care Clinic
- Clinic/Center
- Morehead, KY
- NPI 1689012775
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594166400000",
"number": "1508256447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 909",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402010909",
"telephone_number": "502-588-0328",
"fax_number": "502-587-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "530 S JACKSON ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402021675",
"telephone_number": "502-852-1735",
"fax_number": "502-852-6056"
}
],
"practiceLocations": [
{
"address_1": "110 29th Ave N",
"address_2": "Ste 202",
"address_purpose": "LOCATION",
"city": "Nashville",
"state": "TN",
"postal_code": "372031401",
"country_code": "US",
"telephone_number": "615-327-4304 x6182",
"fax_number": "615-327-7940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Abraham Flexner Way",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402022877",
"country_code": "US",
"telephone_number": "502-587-4404",
"fax_number": "502-587-4156",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHELTON",
"first_name": "JOHN",
"middle_name": "AUSTIN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-30",
"last_updated": "2020-07-08",
"certification_date": "2020-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TN",
"license": "103483",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3010120",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TN",
"license": "RN0000169631",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300039773",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100371010",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.