MRS. SHELLY RENEA FAIR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1639283732

MRS. SHELLY RENEA FAIR (CRNA) is a healthcare provider. based in North platte, Nebraska. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 100553 (NE). The NPI Number for MRS. SHELLY RENEA FAIR (CRNA) is 1639283732

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELLY RENEA FAIR (CRNA)
NPI
1639283732
Phone
(308) 696-8000
Address
601 W LEOTA
Enumeration Date
18 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6057214700
Graduation Year
1993 (33 years ago)
PAC ID
2567445539
Group Practice PAC ID
5496742835
Professional Enrollment ID
I20080318000383
Address ID
SD577017366RA216XXDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

534 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in NE

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Provider Addresses for MRS. SHELLY RENEA FAIR (CRNA)

  • West Leota Street, Key Estates, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 69101

    Phone: (308) 696-8000

    Type: Location

  • 514, North Maple Street, North Platte, Lincoln County, Nebraska, 69101, United States

    NORTH PLATTE, NE 69101

    Phone: (308) 534-6965

    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: 2008-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20080318000383ICertified Registered Nurse Anesthetist (Crna)SDTBD

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
01402Anesthesia for procedure for total knee joint replacement1818$0
01810Anesthesia for procedure on nerves, muscles, tendons, and tissue of forearm, wrist, and hand1313$0
View full utilization report →

Insurance plans in this area (ZIP 69101)

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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: 5496742835View full group profile
NameSpecialtyState
Nurse PractitionerSD
-WY
Certified Registered Nurse Anesthetist (Crna)SD
A N E S T H E S I O L O G YTX
Certified Registered Nurse Anesthetist (Crna)FL
-KS
-SD
Certified Registered Nurse Anesthetist (Crna)SD
Certified Registered Nurse Anesthetist (Crna)IA
-SD

Reviews

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Frequently asked questions

How do I look up MRS. SHELLY RENEA FAIR (CRNA) by NPI?
Use NPI 1639283732 when you need to reference MRS. SHELLY RENEA FAIR (CRNA) in forms, claims, or directories.
Does this profile mean MRS. SHELLY RENEA FAIR (CRNA) is currently active?
Yes — MRS. SHELLY RENEA FAIR (CRNA) appears active in the national provider directory.
What does MRS. SHELLY RENEA FAIR (CRNA) treat or focus on?
Patients typically see MRS. SHELLY RENEA FAIR (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place MRS. SHELLY RENEA FAIR (CRNA)?
The snapshot lists North Platte, Nebraska for MRS. SHELLY RENEA FAIR (CRNA); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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