SHELBY L DENICKE (CRNA) – Certified Registered Nurse Anesthetist, NPI 1235400623

SHELBY L DENICKE (CRNA) is a healthcare provider. based in Springfield, Illinois. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 2012001557 (MO). The NPI Number for SHELBY L DENICKE (CRNA) is 1235400623

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
SHELBY L DENICKE (CRNA)
NPI
1235400623
Phone
(217) 544-6464
Address
800 E CARPENTER ST
Enumeration Date
18 January 2012
Last Update Date
15 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6363466051
Graduation Year
2011 (15 years ago)
PAC ID
4587826862
Group Practice PAC ID
3173604782
Professional Enrollment ID
I20120502000644
Address ID
MO633766452SA4203XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness75
Years active:14State licenses:2Digital endpointsOther names

2,265 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in IL

Provider Addresses for SHELBY L DENICKE (CRNA)

  • 800 E CARPENTER ST

    SPRINGFIELD, IL 627691000

    Phone: (217) 544-6464

    Type: Mailing

  • 1 Barnes Jewish Hospital Plz Dept Of

    Saint Louis, MO 631101003

    Phone: (800) 662-9980

    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: 2019-12-02

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
I20120502000644ICertified Registered Nurse Anesthetist (Crna)MOTBD
I20191202000049ICertified Registered Nurse Anesthetist (Crna)ILTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62769)

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Provider's Procedures

SHELBY L DENICKE (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETMO00790Anesthesia for procedure in upper abdomen including use of an endoscope1312

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: 3173604782View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
A N E S T H E S I O L O G YMO
A N E S T H E S I O L O G YMO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)MO
Certified Registered Nurse Anesthetist (Crna)IL

Reviews

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Frequently asked questions

What number should I use to identify SHELBY L DENICKE (CRNA) for billing?
Administrative and clinical systems typically use NPI 1235400623 for SHELBY L DENICKE (CRNA).
Is SHELBY L DENICKE (CRNA) currently accepting referrals based on NPI status?
Registry metadata lists SHELBY L DENICKE (CRNA) as active.
How should patients interpret SHELBY L DENICKE (CRNA)'s specialty?
The extract shows Certified Registered Nurse Anesthetist for SHELBY L DENICKE (CRNA). Clinical services aligned with this taxonomy classification.
What geographic area is tied to SHELBY L DENICKE (CRNA)?
SHELBY L DENICKE (CRNA) is associated with Springfield, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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