Individual provider Active NPI

Aaron Shelbrock, DNP

  • Certified Registered Nurse Anesthetist
  • Gainesville, FL
National Provider Identifier
1700426772
Registry record updated Feb 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
APRN11005982 Issued in FL
Practice address
3930 SW 1St Ave
Gainesville, FL 32607-2702
Phone
(352) 792-5750
NPI assigned
Jan 8, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9324853 FL
Certified Registered Nurse Anesthetist 367500000X APRN11005982 FL Primary

Addresses

Primary practice location

3930 SW 1St Ave
Gainesville, FL 32607-2702

Mailing address

3930 SW 1St Ave
Gainesville, FL 32607-2702
Phone (352) 792-5750

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200402000722 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 1355770934 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9324853FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 10, 2020 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Mar 10, 2020 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Mar 21, 2020 Accepting new patients

Locations

6705 NW 10th Pl
Gainesville, FL 32605
Phone (352) 333-4555

6500 W Newberry Rd
Gainesville, FL 32605
Phone (352) 333-4180

60 Memorial Medical Pkwy
Palm Coast, FL 32164
Phone (385) 586-2000

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613174400000",
    "number": "1700426772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 SW 1ST AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072702",
            "telephone_number": "352-792-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 SW 1ST AVE",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072702",
            "telephone_number": "352-792-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELBROCK",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2021-02-13",
        "certification_date": "2021-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "9324853",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "APRN11005982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.