SHELLY ANDERSON (CRNA) – Certified Registered Nurse Anesthetist, NPI 1033397120
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SHELLY ANDERSON (CRNA)
10833 Le Conte Ave
Los Angeles, CA 900953075
Phone: (310) 825-9111
Type: Location
DPWH Rank & File Cooperative Station, Sayre Highway, Angeles, Dalirig, Bukidnon, Northern Mindanao, Philippines
LOS ANGELES, CA 900740001
Phone: (503) 372-2740
Fax: (503) 372-2754
Type: Mailing
University of California, Los Angeles, Glendon Avenue, Westwood Village, Westwood, Los Angeles, Los Angeles County, California, 90024-3990, United States
LOS ANGELES, CA 900953075
Phone: (331) 026-7389
Fax: (310) 267-3899
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080321000233 | I | Certified Registered Nurse Anesthetist (Crna) | CA | TBD |
| I20250226002427 | I | Certified Registered Nurse Anesthetist (Crna) | OR | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 25 | 24 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 19 | 19 | $0 |
| 00812 | Anesthesia for exam of colon using an endoscope | 17 | 17 | $0 |
Insurance plans in this area (ZIP 90095)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| A N E S T H E S I O L O G Y | CA | |
| - | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | CA | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| - | CA | |
| Anesthesiology, Critical Care (Intensivists) | CA | |
| - | CA |
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