SHELLEY R. DANIELSON (C.R.N.A.) – Certified Registered Nurse Anesthetist, NPI 1265418909

SHELLEY R. DANIELSON (C.R.N.A.) is a healthcare provider. based in Brookfield, Wisconsin. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials C.R.N.A.. They hold a License No. 130226-030 (WI). The NPI Number for SHELLEY R. DANIELSON (C.R.N.A.) is 1265418909

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
SHELLEY R. DANIELSON (C.R.N.A.)
NPI
1265418909
Phone
(262) 787-4026
Address
225 S EXECUTIVE DR
Enumeration Date
15 December 2005
Last Update Date
13 April 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7153931000
Graduation Year
2003 (23 years ago)
PAC ID
8123003209
Group Practice PAC ID
5698071173
Professional Enrollment ID
I20040622001403
Address ID
WI544765220WE3400XPKWY300

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

1,144 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in WI

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Provider Addresses for SHELLEY R. DANIELSON (C.R.N.A.)

  • 225, South Executive Drive, Brookfield, Waukesha County, Wisconsin, 53005, United States

    BROOKFIELD, WI 530054266

    Phone: (262) 787-4026

    Type: Mailing

  • Saint Nicholas Hospital, 3100, Superior Avenue, Sheboygan, Sheboygan County, Wisconsin, 53081, United States

    SHEBOYGAN, WI 530811948

    Phone: (920) 459-8300

    Type: Location

  • 1000 N OAK AVE

    MARSHFIELD, WI 544495703

    Phone: (715) 387-5211

    Type: Mailing

  • 2727 PLAZA DR

    WAUSAU, WI 544014129

    Phone: (715) 387-7179

    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: 2004-06-22

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
I20040622001403ICertified Registered Nurse Anesthetist (Crna)WITBD

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 endoscope3232$0
00142Anesthesia for lens surgery1917$0
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1414$0
View full utilization report →

Insurance plans in this area (ZIP 53005)

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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: 5698071173View full group profile
NameSpecialtyState
-WI
N E U R O L O G YNY
Nurse PractitionerWI
Interventional Radiology, Diagnostic RadiologyWI
-WI
P S Y C H I A T R YIL
-MI
Internal MedicineWI
Nurse PractitionerIL
Cardiovascular Disease (Cardiology)IL

Reviews

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Frequently asked questions

Can I use this page to confirm SHELLEY R. DANIELSON (C.R.N.A.)'s NPI?
Yes. SHELLEY R. DANIELSON (C.R.N.A.) is listed with NPI 1265418909 in the public NPI dataset.
Does CMS list SHELLEY R. DANIELSON (C.R.N.A.) as active?
Yes — SHELLEY R. DANIELSON (C.R.N.A.) is active in the NPI listing used on this page.
What is SHELLEY R. DANIELSON (C.R.N.A.)'s specialty?
The listing groups SHELLEY R. DANIELSON (C.R.N.A.) with Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What address line appears for SHELLEY R. DANIELSON (C.R.N.A.)?
SHELLEY R. DANIELSON (C.R.N.A.)'s geographic hint is Brookfield, Wisconsin in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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