SHELLY HARLEY (CRNA) – Certified Registered Nurse Anesthetist, NPI 1053449488

SHELLY HARLEY (CRNA) is a healthcare provider. based in Athens, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 537368 (TX). The NPI Number for SHELLY HARLEY (CRNA) is 1053449488

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
SHELLY HARLEY (CRNA)
NPI
1053449488
Phone
(903) 677-1000
Address
PO BOX 2127
Enumeration Date
28 February 2007
Last Update Date
21 April 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8069347824
Graduation Year
1998 (28 years ago)
PAC ID
6305876533
Group Practice PAC ID
1355606641
Professional Enrollment ID
I20050817000900
Address ID
TX790293808DU224XXSTXX401
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

5,279 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in TX

Provider Addresses for SHELLY HARLEY (CRNA)

  • PO BOX 2127

    DEPT. OF ANESTHESIA

    ATHENS, TX 757517127

    Phone: (903) 677-1000

    Fax: (903) 677-1694

    Type: Mailing

  • 608 STRICKLAND DR

    DEPT. OF ANESTHESIA

    ORANGE, TX 776304717

    Phone: (409) 883-1303

    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: 2005-08-17

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
I20050817000900ICertified Registered Nurse Anesthetist (Crna)TXTBD

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
00812Anesthesia for exam of colon using an endoscope1414$0
00902Anesthesia for procedure on anus and rectum1313$0
View full utilization report →

Insurance plans in this area (ZIP 75751)

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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: 1355606641View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)TX
-GA
Certified Registered Nurse Anesthetist (Crna)LA
Certified Registered Nurse Anesthetist (Crna)TX
Anesthesiology, Interventional Pain ManagementTX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)TX
Certified Registered Nurse Anesthetist (Crna)MS
Certified Registered Nurse Anesthetist (Crna)TX

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Frequently asked questions

What NPI should I save for SHELLY HARLEY (CRNA)?
Save NPI 1053449488 if you need a stable reference for SHELLY HARLEY (CRNA).
Is SHELLY HARLEY (CRNA) currently active in the NPI registry?
CMS-published data lists SHELLY HARLEY (CRNA) as an active registrant.
What does SHELLY HARLEY (CRNA) treat or focus on?
Patients typically see SHELLY HARLEY (CRNA) under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Where does public data place SHELLY HARLEY (CRNA)?
The snapshot lists Athens, Texas for SHELLY HARLEY (CRNA); download NPPES for the complete set.
What if Athens, Texas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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