KIRK ROBERT JR. SHELLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1063986776

KIRK ROBERT JR. SHELLEY (CRNA) is a healthcare provider. based in Savannah, Georgia. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. RN282650 (GA). The NPI Number for KIRK ROBERT JR. SHELLEY (CRNA) is 1063986776

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
KIRK ROBERT JR. SHELLEY (CRNA)
NPI
1063986776
Phone
(864) 630-7431
Address
11 SETTLERS PT
Enumeration Date
15 January 2019
Last Update Date
15 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9123549447
Graduation Year
2016 (10 years ago)
PAC ID
3072852151
Group Practice PAC ID
4587831748
Professional Enrollment ID
I20190307001513
Address ID
GA314055969SA519XXAVEX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,710 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in GA

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Provider Addresses for KIRK ROBERT JR. SHELLEY (CRNA)

  • 11 SETTLERS PT

    SAVANNAH, GA 314063235

    Phone: (864) 630-7431

    Type: Mailing

  • Medical Center Pharmacy, 4700, Waters Avenue, Fairfield, Savannah, Chatham County, Georgia, 31404, United States

    SAVANNAH, GA 314046220

    Phone: (912) 350-8000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $50.

Total Amount is formed as General ($50) + Research ($0) + Ownership ($0) = $50.

Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Janssen Biotech, Inc. ($32).

Total Amount

$50

General + Research + Ownership

Payments

3

Total payment records

General Amount

$50

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-03-11

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190307001513ICertified Registered Nurse Anesthetist (Crna)GATBD
I20210311000903ICertified Registered Nurse Anesthetist (Crna)SCTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope104104$0
00812Anesthesia for exam of colon using an endoscope101101$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope8989$0
00142Anesthesia for lens surgery1919$0
View full utilization report →

Insurance plans in this area (ZIP 31406)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4587831748View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)SC
Certified Registered Nurse Anesthetist (Crna)PA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

Can I verify KIRK ROBERT JR. SHELLEY (CRNA) with an NPI only?
You can start verification with NPI 1063986776 for KIRK ROBERT JR. SHELLEY (CRNA), then check state licensing separately.
Does CMS list KIRK ROBERT JR. SHELLEY (CRNA) as active?
Yes — KIRK ROBERT JR. SHELLEY (CRNA) is active in the NPI listing used on this page.
What is KIRK ROBERT JR. SHELLEY (CRNA) best known for clinically?
Directory data describes KIRK ROBERT JR. SHELLEY (CRNA) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Does KIRK ROBERT JR. SHELLEY (CRNA) list a practice location?
Patients near Savannah, Georgia may find KIRK ROBERT JR. SHELLEY (CRNA) in results; validate coverage separately.
Is the information about KIRK ROBERT JR. SHELLEY (CRNA) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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