Individual provider Active NPI

Shelly Lynn Cole, CRNA

  • Certified Registered Nurse Anesthetist
  • Charlottesville, VA
National Provider Identifier
1912211145
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
56255 Issued in WV
Practice address
1215 Lee St
Charlottesville, VA 22908-3800
Phone
(434) 244-2283
NPI assigned
Jul 29, 2010
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 0224173662 VA
Certified Registered Nurse Anesthetist 367500000X 56255 WV Primary

Addresses

Primary practice location

1215 Lee St
Charlottesville, VA 22908-3800

Mailing address

PO Box 714960
Columbus, OH 43271-4960
Phone (800) 800-1617

Other practice location 1

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 399-2960

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170323000906 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6305961343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 Lee St Main Hospital
Charlottesville, VA 22908-0816
Phone (434) 924-0000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0224173662VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Rector and Visitors of the University of Virginia Nurse Anesthetist, Certified Registered CurrentSince Jul 5, 2016 Accepting new patients
Rector & Visitors of the University of Virginia Current Accepting new patients
Rector & Visitors of the University of Virginia CurrentSince Jul 5, 2016 Accepting new patients

Locations

1215 Lee St
Charlottesvle, VA 22908
Phone (434) 924-0211

2955 Ivy Rd
Ste 201
Charlottesvle, VA 22903
Phone (434) 243-4520

Organizations & group practices 3

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.

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": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912211145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 714960",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432714960",
            "telephone_number": "800-800-1617",
            "fax_number": "866-759-5426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LEE ST",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229083800",
            "telephone_number": "434-244-2283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1340 Hal Greer Blvd",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257013800",
            "country_code": "US",
            "telephone_number": "304-399-2960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLE",
        "first_name": "SHELLY",
        "middle_name": "LYNN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0224173662",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WV",
            "license": "56255",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.