MS. SHELLY MARIE GREEN (CRNA) – Certified Registered Nurse Anesthetist, NPI 1205176476
Certified Registered Nurse Anesthetist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MS. SHELLY MARIE GREEN (CRNA)
1102 SAINT MARYS RD RM 1204
JUNCTION CITY, KS 664414139
Phone: (785) 762-3416
Type: Mailing
707 SHERIDAN AVE
CODY, WY 824143409
Phone: (307) 587-2139
Type: Location
1102 Saint Marys Rd Rm 1204
Junction City, KS 664414139
Phone: (785) 762-3416
Type: Location
PO BOX 1155
BILLINGS, MT 591031155
Phone:
Type: Mailing
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: 2020-06-22
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 |
|---|---|---|---|---|
| I20150408000599 | I | Certified Registered Nurse Anesthetist (Crna) | WY | TBD |
| I20200622000756 | I | Certified Registered Nurse Anesthetist (Crna) | MT | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 81 | 73 | $0 |
| 01402 | Anesthesia for procedure for total knee joint replacement | 22 | 22 | $0 |
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 21 | 21 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 20 | 20 | $0 |
| 64447 | Injection of anesthetic agent and/or steroid into thigh nerve (femoral nerve) | 14 | 14 | $0 |
Insurance plans in this area (ZIP 66441)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CERTIFIED REGISTERED NURSE ANESTHET | KS | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 18 | 18 |
| CERTIFIED REGISTERED NURSE ANESTHET | KS | 76942 | Ultrasonic guidance imaging supervision and interpretation for insertion of needle | 24 | 24 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WY | |
| - | ID |
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