Shelby Tanner Mollenkamp, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

557708 Issued in KS

Practice address

1500 SW 10TH Ave
Topeka, KS 66604-1301

Phone

(785) 354-6000

NPI assigned

Mar 11, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in KS, NC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

University of Kansas School of Med (KC/Wich/Sal), 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Anesthesia of Washington, PCGroup PAC ID 1153823083, 37 clinicians

Clinical Colleagues KS PAGroup PAC ID 3870921984, 44 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Salina Regional Health Center Hospital, Salina, KS, CCN 170012
• Neosho Memorial Regional Medical Center Hospital, Chanute, KS, CCN 171380

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Clinical Colleagues KS PA

  • Anesthesiology Physician
  • Chanute, KS
  • NPI 1548813967

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Premier Anesthesia of Washington, PC

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1194617043

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Anesthesia Consulting Services, PA

  • Anesthesiology Physician
  • Wichita, KS
  • NPI 1518070416
  Medicare reassignment NPD
• Mitchell County Hospital Health Systems

  • Certified Registered Nurse Anesthetist
  • Beloit, KS
  • NPI 1245369511

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Morganton, NC
  • NPI 1346828878
  Medicare reassignment NPD
• Anesthesia Associates of Central Kansas, P.a.

  • Anesthesiology Physician
  • Salina, KS
  • NPI 1164494084
  Medicare reassignment
• Morganton Anesthesia Partners, PLLC

  • Anesthesiology Physician
  • Valdese, NC
  • NPI 1831770536
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Neosho Memorial Regional Medical Center

  • Medical Specialty Clinic/Center
  • Chanute, KS
  • NPI 1023251469

  Hospital

  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Critical Access Hospital
  • Chanute, KS
  • NPI 1073566949
  Care Compare affiliation
• Neosho Memorial Regional Medical Center

  • Orthopaedic Surgery Physician
  • Chanute, KS
  • NPI 1619261211

  Hospital

  Care Compare affiliation
• Salina Regional Health Center, Inc

  • General Acute Care Hospital
  • Salina, KS
  • NPI 1689635138
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1578021374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 E PIANKISHAW ST",
            "city": "PAOLA",
            "state": "KS",
            "postal_code": "660711717",
            "telephone_number": "785-754-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 SW 10TH AVE",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666041301",
            "telephone_number": "785-354-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 S 5th St Ste A",
            "address_purpose": "LOCATION",
            "city": "Salina",
            "state": "KS",
            "postal_code": "674013906",
            "country_code": "US",
            "telephone_number": "785-827-2238",
            "fax_number": "785-827-1684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLLENKAMP",
        "first_name": "SHELBY",
        "middle_name": "TANNER",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-11",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "KS",
            "license": "13-120438-042",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": "557708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myra Lynn Mohr, LSCSW
• Jason Molde, LMSW
• Molecular Lab Associates LLC
• Ashley Molinar
• Jennifer Molleker, LSCSW
• Monaco & Associates Inc.
• Monaco & Associates Incorporated
• Elise Monaco
• Stephanie Arely Monge-Velasquez
• Leandra Monreal, APRN FNP-BC

• Certified Registered Nurse Anesthetist in Topeka, KS
• Providers in Topeka, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; 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.